34D1049288 CLIA NUMBER - PEDIATRIC PARTNERS, PC

Laboratory Demographics

  • CLIA Code: 34D1049288
  • Facility Name: PEDIATRIC PARTNERS, PC
  • Facility Address: 5904 SIX FORKS ROAD, SUITE 111
    RALEIGH, NC
    ZIP 27609
  • Facility Phone: 919 787-9555
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: TERRY R. BRENNEMAN
  • NPI Number: 1730154857
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 34D1049288
LAB Type Physician Office
Facility Name PEDIATRIC PARTNERS, PC
Street 5904 SIX FORKS ROAD, SUITE 111
City RALEIGH
State NC
ZIP 27609
Phone 919 787-9555
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/3/2024
Certificate Expiration Date 1/2/2026
Facility Type Physician Office
Lab Director TERRY R. BRENNEMAN

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