34D0974505 CLIA NUMBER - GROWING UP PEDIATRICS, PA

Laboratory Demographics

  • CLIA Code: 34D0974505
  • Facility Name: GROWING UP PEDIATRICS, PA
  • Facility Address: 8301 MAGNOLIA ESTATES DRIVE, SUITE 17
    CORNELIUS, NC
    ZIP 28031
  • Facility Phone: 704 895-9060
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WENDY G. TALLEY
  • NPI Number: 1699735951
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 34D0974505
LAB Type Physician Office
Facility Name GROWING UP PEDIATRICS, PA
Street 8301 MAGNOLIA ESTATES DRIVE, SUITE 17
City CORNELIUS
State NC
ZIP 28031
Phone 704 895-9060
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/8/2024
Certificate Expiration Date 12/7/2026
Facility Type Physician Office
Lab Director WENDY G. TALLEY

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