08D2064237 CLIA NUMBER - KENT PEDIATRICS LLC

Laboratory Demographics

  • CLIA Code: 08D2064237
  • Facility Name: KENT PEDIATRICS LLC
  • Facility Address: 748 S NEW STREET OFC 1/A
    DOVER, DE
    ZIP 19904
  • Facility Phone: 302 264-9691
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MR. JAMES MEDVED
  • NPI Number: 1134479462
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 08D2064237
LAB Type Physician Office
Facility Name KENT PEDIATRICS LLC
Street 748 S NEW STREET OFC 1/A
City DOVER
State DE
ZIP 19904
Phone 302 264-9691
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/16/2025
Certificate Expiration Date 8/15/2027
Facility Type Physician Office
Lab Director MR. JAMES MEDVED

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