34D1057280 CLIA NUMBER - GROWING CHILD PEDIATRICS AT CREEKSTONE

Laboratory Demographics

  • CLIA Code: 34D1057280
  • Facility Name: GROWING CHILD PEDIATRICS AT CREEKSTONE
  • Facility Address: 4709 CREEKSTONE DRIVE, SUITE. 300
    DURHAM, NC
    ZIP 27703
  • Facility Phone: 919 544-5900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KEVIN MCENANEY
  • NPI Number: 1780987248
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 34D1057280
LAB Type Physician Office
Facility Name GROWING CHILD PEDIATRICS AT CREEKSTONE
Street 4709 CREEKSTONE DRIVE, SUITE. 300
City DURHAM
State NC
ZIP 27703
Phone 919 544-5900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/18/2025
Certificate Expiration Date 1/17/2027
Facility Type Physician Office
Lab Director KEVIN MCENANEY

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