34D0955704 CLIA NUMBER - GROWING CHILD PEDIATRICS AT KNIGHTDALE

Laboratory Demographics

  • CLIA Code: 34D0955704
  • Facility Name: GROWING CHILD PEDIATRICS AT KNIGHTDALE
  • Facility Address: 1005 BIG OAK COURT
    KNIGHTDALE, NC
    ZIP 27545
  • Facility Phone: 919 266-5669
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOANNE WAGNER
  • NPI Number: 1013210566
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 34D0955704
LAB Type Physician Office
Facility Name GROWING CHILD PEDIATRICS AT KNIGHTDALE
Street 1005 BIG OAK COURT
City KNIGHTDALE
State NC
ZIP 27545
Phone 919 266-5669
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/18/2025
Certificate Expiration Date 1/17/2027
Facility Type Physician Office
Lab Director JOANNE WAGNER

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