34D2134121 CLIA NUMBER - HANOVER PEDIATRICS

Laboratory Demographics

  • CLIA Code: 34D2134121
  • Facility Name: HANOVER PEDIATRICS
  • Facility Address: 3505 CONVERSE DRIVE, SUITE 200
    WILMINGTON, NC
    ZIP 28403
  • Facility Phone: 910 769-4994
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HOKE W. POLLOCK
  • NPI Number: 1669907929
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D2134121
LAB Type Physician Office
Facility Name HANOVER PEDIATRICS
Street 3505 CONVERSE DRIVE, SUITE 200
City WILMINGTON
State NC
ZIP 28403
Phone 910 769-4994
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/26/2025
Certificate Expiration Date 7/25/2027
Facility Type Physician Office
Lab Director HOKE W. POLLOCK

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