34D0982931 CLIA NUMBER - GROWING CHILD PEDIATRICS AT CLAYTON

Laboratory Demographics

  • CLIA Code: 34D0982931
  • Facility Name: GROWING CHILD PEDIATRICS AT CLAYTON
  • Facility Address: 500 GATEWAY DRIVE
    CLAYTON, NC
    ZIP 27520
  • Facility Phone: 919 845-0623
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOANNE WAGNER
  • NPI Number: 1003119553
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 34D0982931
LAB Type Physician Office
Facility Name GROWING CHILD PEDIATRICS AT CLAYTON
Street 500 GATEWAY DRIVE
City CLAYTON
State NC
ZIP 27520
Phone 919 845-0623
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