34D1073788 CLIA NUMBER - WAKE FOREST PEDIATRIC ASSOCIATES, PLLC DBA KNIGHTDALE PEDIATRIC OFFICE

Laboratory Demographics

  • CLIA Code: 34D1073788
  • Facility Name: WAKE FOREST PEDIATRIC ASSOCIATES, PLLC DBA KNIGHTDALE PEDIATRIC OFFICE
  • Facility Address: 6845 KNIGHTDALE BOULEVARD, SUITE 100
    KNIGHTDALE, NC
    ZIP 27545
  • Facility Phone: 919 266-5059
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: KIMBERLY DAVIS
  • NPI Number: 1790973469
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 34D1073788
LAB Type Physician Office
Facility Name WAKE FOREST PEDIATRIC ASSOCIATES, PLLC DBA KNIGHTDALE PEDIATRIC OFFICE
Street 6845 KNIGHTDALE BOULEVARD, SUITE 100
City KNIGHTDALE
State NC
ZIP 27545
Phone 919 266-5059
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 5/27/2024
Certificate Expiration Date 5/26/2026
Facility Type Physician Office
Lab Director KIMBERLY DAVIS

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