34D1058405 CLIA NUMBER - CHOICE PEDIATRIX, PA

Laboratory Demographics

  • CLIA Code: 34D1058405
  • Facility Name: CHOICE PEDIATRIX, PA
  • Facility Address: 308 SOUTH LAWRENCE STREET
    ROCKINGHAM, NC
    ZIP 28379
  • Facility Phone: 910 410-0010
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PATRICK E. EGBE
  • NPI Number: 1942319595
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 34D1058405
LAB Type Physician Office
Facility Name CHOICE PEDIATRIX, PA
Street 308 SOUTH LAWRENCE STREET
City ROCKINGHAM
State NC
ZIP 28379
Phone 910 410-0010
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/6/2024
Certificate Expiration Date 9/5/2026
Facility Type Physician Office
Lab Director PATRICK E. EGBE

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