34D0952663 CLIA NUMBER - RICHMOND PEDIATRICS

Laboratory Demographics

  • CLIA Code: 34D0952663
  • Facility Name: RICHMOND PEDIATRICS
  • Facility Address: 1219 ROCKINGHAM ROAD SUITE 3
    ROCKINGHAM, NC
    ZIP 28379
  • Facility Phone: 910 895-4140
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHAMSUL A. KHAN
  • NPI Number: 1316008626
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 34D0952663
LAB Type Physician Office
Facility Name RICHMOND PEDIATRICS
Street 1219 ROCKINGHAM ROAD SUITE 3
City ROCKINGHAM
State NC
ZIP 28379
Phone 910 895-4140
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/1/2023
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director SHAMSUL A. KHAN

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