34D2271869 CLIA NUMBER - MAINSTREET AND KIDSSTREET OF NORTH CAROLINA, PLLC

Laboratory Demographics

  • CLIA Code: 34D2271869
  • Facility Name: MAINSTREET AND KIDSSTREET OF NORTH CAROLINA, PLLC
  • Facility Address: 110 WESTERN BLVD
    TARBORO, NC
    ZIP 27886
  • Facility Phone: 205 545-5085
  • Facility Type: Other - URGENT CCARE
  • Facility Type: Waiver
  • Lab Director: TIMOTHY P. TAYLOR
  • NPI Number: 1235747205
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D2271869
LAB Type Other - URGENT CCARE
Facility Name MAINSTREET AND KIDSSTREET OF NORTH CAROLINA, PLLC
Street 110 WESTERN BLVD
City TARBORO
State NC
ZIP 27886
Phone 205 545-5085
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/9/2024
Certificate Expiration Date 11/8/2026
Facility Type Other - URGENT CCARE
Lab Director TIMOTHY P. TAYLOR

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