34D0983971 CLIA NUMBER - BEULAVILLE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 34D0983971
  • Facility Name: BEULAVILLE PEDIATRICS
  • Facility Address: 110 EAST PARK DRIVE
    BEULAVILLE, NC
    ZIP 28518
  • Facility Phone: 910 298-6558
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: CAROL D. RIDDLE
  • NPI Number: 1932582525
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 34D0983971
LAB Type Physician Office
Facility Name BEULAVILLE PEDIATRICS
Street 110 EAST PARK DRIVE
City BEULAVILLE
State NC
ZIP 28518
Phone 910 298-6558
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 11/21/2023
Certificate Expiration Date 11/20/2025
Facility Type Physician Office
Lab Director CAROL D. RIDDLE

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