34D0975840 CLIA NUMBER - CARY CHILDREN'S CLINIC

Laboratory Demographics

  • CLIA Code: 34D0975840
  • Facility Name: CARY CHILDREN'S CLINIC
  • Facility Address: 155 PARKWAY OFFICE COURT, SUITE 100
    CARY, NC
    ZIP 27518
  • Facility Phone: 919 852-3456
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANIL K. KASULA
  • NPI Number: 1891201737
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 34D0975840
LAB Type Physician Office
Facility Name CARY CHILDREN'S CLINIC
Street 155 PARKWAY OFFICE COURT, SUITE 100
City CARY
State NC
ZIP 27518
Phone 919 852-3456
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/19/2024
Certificate Expiration Date 7/18/2026
Facility Type Physician Office
Lab Director ANIL K. KASULA

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