34D2081630 CLIA NUMBER - NITELITE PEDIATRIC URGENT CARE, PA

Laboratory Demographics

  • CLIA Code: 34D2081630
  • Facility Name: NITELITE PEDIATRIC URGENT CARE, PA
  • Facility Address: 1519 E BOOKER DAIRY ROAD, SUITE B
    SMITHFIELD, NC
    ZIP 27577
  • Facility Phone: 919 938-2144
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: KIMBERLY D. FOX
  • NPI Number: 1285064972
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D2081630
LAB Type Other - URGENT CARE
Facility Name NITELITE PEDIATRIC URGENT CARE, PA
Street 1519 E BOOKER DAIRY ROAD, SUITE B
City SMITHFIELD
State NC
ZIP 27577
Phone 919 938-2144
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/29/2024
Certificate Expiration Date 7/28/2026
Facility Type Other - URGENT CARE
Lab Director KIMBERLY D. FOX

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