34D0890701 CLIA NUMBER - REGIONAL PEDIATRIC SUTTON STATION

Laboratory Demographics

  • CLIA Code: 34D0890701
  • Facility Name: REGIONAL PEDIATRIC SUTTON STATION
  • Facility Address: 5832 FAYETTEVILE ROAD, SUITE 113
    DURHAM, NC
    ZIP 27713
  • Facility Phone: 919 544-2049
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VIVIAN O. MAKAR
  • NPI Number: 1780020545
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 34D0890701
LAB Type Physician Office
Facility Name REGIONAL PEDIATRIC SUTTON STATION
Street 5832 FAYETTEVILE ROAD, SUITE 113
City DURHAM
State NC
ZIP 27713
Phone 919 544-2049
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/1/2025
Certificate Expiration Date 12/31/2026
Facility Type Physician Office
Lab Director VIVIAN O. MAKAR

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