34D2157235 CLIA NUMBER - MACK PEDIATRICS, PLLC

Laboratory Demographics

  • CLIA Code: 34D2157235
  • Facility Name: MACK PEDIATRICS, PLLC
  • Facility Address: 3721 LYNN ROAD, SUITE 104
    RALEIGH, NC
    ZIP 27613
  • Facility Phone: 919 825-3600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EMILI R. MACK
  • NPI Number: 1881169514
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 34D2157235
LAB Type Physician Office
Facility Name MACK PEDIATRICS, PLLC
Street 3721 LYNN ROAD, SUITE 104
City RALEIGH
State NC
ZIP 27613
Phone 919 825-3600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/2/2024
Certificate Expiration Date 11/1/2026
Facility Type Physician Office
Lab Director EMILI R. MACK

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