34D2081654 CLIA NUMBER - STARLIGHT PEDIATRICS

Laboratory Demographics

  • CLIA Code: 34D2081654
  • Facility Name: STARLIGHT PEDIATRICS
  • Facility Address: 500 HOLLY SPRINGS ROAD, SUITE 101
    HOLLY SPRINGS, NC
    ZIP 27540
  • Facility Phone: 919 762-5113
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: COLIN OTTEY
  • NPI Number: 1700205515
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 34D2081654
LAB Type Physician Office
Facility Name STARLIGHT PEDIATRICS
Street 500 HOLLY SPRINGS ROAD, SUITE 101
City HOLLY SPRINGS
State NC
ZIP 27540
Phone 919 762-5113
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 Physician Office
Lab Director COLIN OTTEY

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