34D1074762 CLIA NUMBER - PREMIERE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 34D1074762
  • Facility Name: PREMIERE PEDIATRICS
  • Facility Address: 530 GREENSBORO STREET
    ASHEBORO, NC
    ZIP 27203
  • Facility Phone: 336 625-0500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WAYNE F. CONNORS MD
  • NPI Number: 1326208398
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 34D1074762
LAB Type Physician Office
Facility Name PREMIERE PEDIATRICS
Street 530 GREENSBORO STREET
City ASHEBORO
State NC
ZIP 27203
Phone 336 625-0500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/5/2025
Certificate Expiration Date 10/4/2027
Facility Type Physician Office
Lab Director WAYNE F. CONNORS MD

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