34D2166932 CLIA NUMBER - WAKEMED CHILDRENS PEDIATRIC ENDORCRINOLOGY

Laboratory Demographics

  • CLIA Code: 34D2166932
  • Facility Name: WAKEMED CHILDRENS PEDIATRIC ENDORCRINOLOGY
  • Facility Address: 104 MEDSPRING DRIVE, SUITE 200
    CLAYTON, NC
    ZIP 27520
  • Facility Phone: 919 350-7180
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WILLIAM LAGARDE
  • NPI Number: 1588216253
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 34D2166932
LAB Type Physician Office
Facility Name WAKEMED CHILDRENS PEDIATRIC ENDORCRINOLOGY
Street 104 MEDSPRING DRIVE, SUITE 200
City CLAYTON
State NC
ZIP 27520
Phone 919 350-7180
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/30/2025
Certificate Expiration Date 5/29/2027
Facility Type Physician Office
Lab Director WILLIAM LAGARDE

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