34D1022375 CLIA NUMBER - GROWING CHILD PEDIATRICS

Laboratory Demographics

CLIA Number: 34D1022375

Facility Name: GROWING CHILD PEDIATRICS

Facility Address:
116 E HORTON STREET
ZEBULON, NC
ZIP 27597
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Facility Phone Number: 919 269-2885

Facility Type: Physician Office

Certificate Type: Accreditation

NPI Number: 1801287057

Taxonomy: 363LP0200X - Nurse Practitioner

CLIA Record

Field Name	Field Value
CLIA Number	34D1022375
LAB Type	Physician Office
Facility Name	GROWING CHILD PEDIATRICS
Street	116 E HORTON STREET
City	ZEBULON
State	NC
ZIP	27597
Phone	919 269-2885
CertificateType	1
CertificateEffectiveDate	1/16/2023
CertificateExpirationDate	1/15/2025
FacilityType	Accreditation

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This page was last updated on: 4/23/2024