34D2106630 CLIA NUMBER - MOUNTAIN PEDIATRIC GROUP - CLYDE

Laboratory Demographics

  • CLIA Code: 34D2106630
  • Facility Name: MOUNTAIN PEDIATRIC GROUP - CLYDE
  • Facility Address: 24 FALCON CREST LANE
    CLYDE, NC
    ZIP 28721
  • Facility Phone: (828) 452-8878
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANNA MOONEY

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CLIA Record

Field Name Field Value
CLIA Number 34D2106630
LAB Type Physician Office
Facility Name MOUNTAIN PEDIATRIC GROUP - CLYDE
Street 24 FALCON CREST LANE
City CLYDE
State NC
ZIP 28721
Phone 8284528878
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/22/2025
Certificate Expiration Date 12/21/2027
Facility Type Physician Office
Lab Director ANNA MOONEY

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This page was last updated on: 5/18/2026