05D2016724 CLIA NUMBER - KINDERCARE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 05D2016724
  • Facility Name: KINDERCARE PEDIATRICS
  • Facility Address: 50 ALESSANDRO PLACE SUITE 200
    PASADENA, CA
    ZIP 91105
  • Facility Phone: 626 236-7642
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HOLLY WANG
  • NPI Number: 1043515877
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D2016724
LAB Type Physician Office
Facility Name KINDERCARE PEDIATRICS
Street 50 ALESSANDRO PLACE SUITE 200
City PASADENA
State CA
ZIP 91105
Phone 626 236-7642
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/23/2024
Certificate Expiration Date 11/22/2026
Facility Type Physician Office
Lab Director HOLLY WANG

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