34D2026814 CLIA NUMBER - PINEVILLE PEDIATRICS PLLC

Laboratory Demographics

  • CLIA Code: 34D2026814
  • Facility Name: PINEVILLE PEDIATRICS PLLC
  • Facility Address: 10700 KETTERING DRIVE SUITE D
    CHARLOTTE, NC
    ZIP 28226
  • Facility Phone: 704 540-3036
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SATYA JAMMALAMADAKA
  • NPI Number: 1679913651
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D2026814
LAB Type Physician Office
Facility Name PINEVILLE PEDIATRICS PLLC
Street 10700 KETTERING DRIVE SUITE D
City CHARLOTTE
State NC
ZIP 28226
Phone 704 540-3036
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/11/2025
Certificate Expiration Date 7/10/2027
Facility Type Physician Office
Lab Director SATYA JAMMALAMADAKA

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