34D1101942 CLIA NUMBER - CAPE FEAR VALLEY LEGACY PEDIATRICS

Laboratory Demographics

  • CLIA Code: 34D1101942
  • Facility Name: CAPE FEAR VALLEY LEGACY PEDIATRICS
  • Facility Address: 556 SANDHURST DRIVE
    FAYETTEVILLE, NC
    ZIP 28304
  • Facility Phone: 910 483-2646
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANA C. HODGES
  • NPI Number: 1699903542
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 34D1101942
LAB Type Physician Office
Facility Name CAPE FEAR VALLEY LEGACY PEDIATRICS
Street 556 SANDHURST DRIVE
City FAYETTEVILLE
State NC
ZIP 28304
Phone 910 483-2646
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/8/2025
Certificate Expiration Date 7/7/2027
Facility Type Physician Office
Lab Director ANA C. HODGES

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