34D1087244 CLIA NUMBER - HOLLY SPRINGS PEDIATRICS

Laboratory Demographics

  • CLIA Code: 34D1087244
  • Facility Name: HOLLY SPRINGS PEDIATRICS
  • Facility Address: 106 HYANNIS DR ATTN GINA ELLINGTON OFFICE MANAGER
    HOLLY SPRINGS, NC
    ZIP 27540
  • Facility Phone: 919 249-4700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: OLGA NILOVA
  • NPI Number: 1558514752
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 34D1087244
LAB Type Physician Office
Facility Name HOLLY SPRINGS PEDIATRICS
Street 106 HYANNIS DR ATTN GINA ELLINGTON OFFICE MANAGER
City HOLLY SPRINGS
State NC
ZIP 27540
Phone 919 249-4700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/30/2024
Certificate Expiration Date 7/29/2026
Facility Type Physician Office
Lab Director OLGA NILOVA

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