34D2149000 CLIA NUMBER - CAROLINA PEDIATRICS OF HAMPSTEAD

Laboratory Demographics

  • CLIA Code: 34D2149000
  • Facility Name: CAROLINA PEDIATRICS OF HAMPSTEAD
  • Facility Address: 16747 US HIGHWAY 17 NORTH, SUITE 114
    HAMPSTEAD, NC
    ZIP 28443
  • Facility Phone: 910 777-2013
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARY L. FOREHAND
  • NPI Number: 1710229570
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 34D2149000
LAB Type Physician Office
Facility Name CAROLINA PEDIATRICS OF HAMPSTEAD
Street 16747 US HIGHWAY 17 NORTH, SUITE 114
City HAMPSTEAD
State NC
ZIP 28443
Phone 910 777-2013
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/23/2024
Certificate Expiration Date 5/22/2026
Facility Type Physician Office
Lab Director MARY L. FOREHAND

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