34D2282115 CLIA NUMBER - LIVING WELL PEDIATRICS, PC

Laboratory Demographics

  • CLIA Code: 34D2282115
  • Facility Name: LIVING WELL PEDIATRICS, PC
  • Facility Address: 289 OLMSTED BLVD, UNIT 3, SUITE 5
    PINEHURST, NC
    ZIP 28374
  • Facility Phone: 910 541-5881
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WARREN C. JOHNSON III
  • NPI Number: 1669171369
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 34D2282115
LAB Type Physician Office
Facility Name LIVING WELL PEDIATRICS, PC
Street 289 OLMSTED BLVD, UNIT 3, SUITE 5
City PINEHURST
State NC
ZIP 28374
Phone 910 541-5881
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/17/2025
Certificate Expiration Date 5/16/2027
Facility Type Physician Office
Lab Director WARREN C. JOHNSON III

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