34D2165547 CLIA NUMBER - WAKEMED CHILDRENS PRIMARY CARE - CLAYTON

Laboratory Demographics

  • CLIA Code: 34D2165547
  • Facility Name: WAKEMED CHILDRENS PRIMARY CARE - CLAYTON
  • Facility Address: 204 MEDSPRING DRIVE STE 200
    CLAYTON, NC
    ZIP 27520
  • Facility Phone: 919 350-7584
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LYNNE WIRTH
  • NPI Number: 1265097695
  • Taxonomy: 2080P0205X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 34D2165547
LAB Type Physician Office
Facility Name WAKEMED CHILDRENS PRIMARY CARE - CLAYTON
Street 204 MEDSPRING DRIVE STE 200
City CLAYTON
State NC
ZIP 27520
Phone 919 350-7584
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/6/2024
Certificate Expiration Date 1/5/2026
Facility Type Physician Office
Lab Director LYNNE WIRTH

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