34D2113588 CLIA NUMBER - WAKEMED CHILDREN'S PEDIATRIC ENDOCRINOLOGY

Laboratory Demographics

  • CLIA Code: 34D2113588
  • Facility Name: WAKEMED CHILDREN'S PEDIATRIC ENDOCRINOLOGY
  • Facility Address: 1911 FALLS VALLEY DRIVE
    RALEIGH, NC
    ZIP 27615
  • Facility Phone: 919 350-8481
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WILLIAM LAGARDE
  • NPI Number: 1013571405
  • Taxonomy: 2080P0202X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 34D2113588
LAB Type Physician Office
Facility Name WAKEMED CHILDREN'S PEDIATRIC ENDOCRINOLOGY
Street 1911 FALLS VALLEY DRIVE
City RALEIGH
State NC
ZIP 27615
Phone 919 350-8481
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/25/2024
Certificate Expiration Date 5/24/2026
Facility Type Physician Office
Lab Director WILLIAM LAGARDE

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