34D2307532 CLIA NUMBER - CHILDREN'S URGENT CARE OF FAYETTEVILLE

Laboratory Demographics

  • CLIA Code: 34D2307532
  • Facility Name: CHILDREN'S URGENT CARE OF FAYETTEVILLE
  • Facility Address: 4118 RAEFORD ROAD
    FAYETTEVILLE, NC
    ZIP 28304
  • Facility Phone: 901 413-9657
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WAREES M. WAREES
  • NPI Number: 1023076932
  • Taxonomy: 2080P0204X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 34D2307532
LAB Type Physician Office
Facility Name CHILDREN'S URGENT CARE OF FAYETTEVILLE
Street 4118 RAEFORD ROAD
City FAYETTEVILLE
State NC
ZIP 28304
Phone 901 413-9657
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/10/2024
Certificate Expiration Date 7/9/2026
Facility Type Physician Office
Lab Director WAREES M. WAREES

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