34D0708685 CLIA NUMBER - OUR CHILDREN'S CLINIC, PA

Laboratory Demographics

  • CLIA Code: 34D0708685
  • Facility Name: OUR CHILDREN'S CLINIC, PA
  • Facility Address: 4024-A OLD TAR ROAD
    WINTERVILLE, NC
    ZIP 28590
  • Facility Phone: 252 355-3773
  • Facility Type: Community Clinic
  • Facility Type: Certificate of Compliance
  • Lab Director: ANGELA STEWART
  • NPI Number: 1124135603
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 34D0708685
LAB Type Community Clinic
Facility Name OUR CHILDREN'S CLINIC, PA
Street 4024-A OLD TAR ROAD
City WINTERVILLE
State NC
ZIP 28590
Phone 252 355-3773
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 5/24/2024
Certificate Expiration Date 5/23/2026
Facility Type Community Clinic
Lab Director ANGELA STEWART

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This page was last updated on: 9/29/2025