34D2202973 CLIA NUMBER - TRIAD PEDIATRICS MENDENHALL OAKS

Laboratory Demographics

  • CLIA Code: 34D2202973
  • Facility Name: TRIAD PEDIATRICS MENDENHALL OAKS
  • Facility Address: 4012 MENDENHALL OAKS PKWY
    HIGH POINT, NC
    ZIP 27265
  • Facility Phone: 336 802-1111
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHAD COOKE
  • NPI Number: 1407355704
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 34D2202973
LAB Type Physician Office
Facility Name TRIAD PEDIATRICS MENDENHALL OAKS
Street 4012 MENDENHALL OAKS PKWY
City HIGH POINT
State NC
ZIP 27265
Phone 336 802-1111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/2/2024
Certificate Expiration Date 12/1/2026
Facility Type Physician Office
Lab Director CHAD COOKE

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