34D0998587 CLIA NUMBER - CALVARY PEDIATRICS

Laboratory Demographics

  • CLIA Code: 34D0998587
  • Facility Name: CALVARY PEDIATRICS
  • Facility Address: 509 SANDHURST DR
    FAYETTEVILLE, NC
    ZIP 28304
  • Facility Phone: 910 484-4233
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: OGIE ASEMOTA
  • NPI Number: 1285999458
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 34D0998587
LAB Type Physician Office
Facility Name CALVARY PEDIATRICS
Street 509 SANDHURST DR
City FAYETTEVILLE
State NC
ZIP 28304
Phone 910 484-4233
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/13/2025
Certificate Expiration Date 5/12/2027
Facility Type Physician Office
Lab Director OGIE ASEMOTA

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