34D1067442 CLIA NUMBER - SHALOM PEDIATRIC CLINIC

Laboratory Demographics

  • CLIA Code: 34D1067442
  • Facility Name: SHALOM PEDIATRIC CLINIC
  • Facility Address: 2306 WEST MEADOWVIEW ROAD, SUITE 125
    GREENSBORO, NC
    ZIP 27407
  • Facility Phone: 336 574-8355
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RITA O. NNAEMEKA-OKOYEH
  • NPI Number: 1316227739
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D1067442
LAB Type Physician Office
Facility Name SHALOM PEDIATRIC CLINIC
Street 2306 WEST MEADOWVIEW ROAD, SUITE 125
City GREENSBORO
State NC
ZIP 27407
Phone 336 574-8355
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/19/2025
Certificate Expiration Date 4/18/2027
Facility Type Physician Office
Lab Director RITA O. NNAEMEKA-OKOYEH

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