34D2286663 CLIA NUMBER - PURPOSEFUL PEDIATRICS, PLLC

Laboratory Demographics

  • CLIA Code: 34D2286663
  • Facility Name: PURPOSEFUL PEDIATRICS, PLLC
  • Facility Address: 2509A LEWISVILLE CLEMMONS RD
    CLEMMONS, NC
    ZIP 27012
  • Facility Phone: 336 608-7411
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: KATINA LITTLE
  • NPI Number: 1225710866
  • Taxonomy: 363L00000X - Nurse Practitioner

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 34D2286663
LAB Type Mobile Laboratory
Facility Name PURPOSEFUL PEDIATRICS, PLLC
Street 2509A LEWISVILLE CLEMMONS RD
City CLEMMONS
State NC
ZIP 27012
Phone 336 608-7411
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/2/2025
Certificate Expiration Date 8/1/2027
Facility Type Mobile Laboratory
Lab Director KATINA LITTLE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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