34D1012794 CLIA NUMBER - SEASIDE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 34D1012794
  • Facility Name: SEASIDE PEDIATRICS
  • Facility Address: 1606 WELLINGTON AVE SUITE E
    WILMINGTON, NC
    ZIP 28401
  • Facility Phone: 910 452-1999
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. EDGAR O. HORGER
  • NPI Number: 1346486891
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 34D1012794
LAB Type Physician Office
Facility Name SEASIDE PEDIATRICS
Street 1606 WELLINGTON AVE SUITE E
City WILMINGTON
State NC
ZIP 28401
Phone 910 452-1999
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/21/2025
Certificate Expiration Date 5/20/2027
Facility Type Physician Office
Lab Director DR. EDGAR O. HORGER

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