34D2046753 CLIA NUMBER - SNEADS FERRY PEDIATRICS

Laboratory Demographics

  • CLIA Code: 34D2046753
  • Facility Name: SNEADS FERRY PEDIATRICS
  • Facility Address: 108 LAKESIDE DRIVE, FIRST FLOOR
    SNEADS FERRY, NC
    ZIP 28460
  • Facility Phone: 910 327-5437
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: THOMAS HAYES WOOLEN JR
  • NPI Number: 1871855379
  • Taxonomy: 363LP0200X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 34D2046753
LAB Type Practitioner Other
Facility Name SNEADS FERRY PEDIATRICS
Street 108 LAKESIDE DRIVE, FIRST FLOOR
City SNEADS FERRY
State NC
ZIP 28460
Phone 910 327-5437
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/11/2024
Certificate Expiration Date 9/10/2026
Facility Type Practitioner Other
Lab Director THOMAS HAYES WOOLEN JR

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This page was last updated on: 3/20/2025