34D2125144 CLIA NUMBER - PEDIATRIC HOUSECALL SERVICES, PLLC

Laboratory Demographics

  • CLIA Code: 34D2125144
  • Facility Name: PEDIATRIC HOUSECALL SERVICES, PLLC
  • Facility Address: 9280 DAVIDSON HWY
    CONCORD, NC
    ZIP 28027
  • Facility Phone: 704 607-3483
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SARA O. DUMOND
  • NPI Number: 1093250904
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 34D2125144
LAB Type Physician Office
Facility Name PEDIATRIC HOUSECALL SERVICES, PLLC
Street 9280 DAVIDSON HWY
City CONCORD
State NC
ZIP 28027
Phone 704 607-3483
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/1/2025
Certificate Expiration Date 1/31/2027
Facility Type Physician Office
Lab Director SARA O. DUMOND

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