15D0979823 CLIA NUMBER - KIDS CARE PC

Laboratory Demographics

  • CLIA Code: 15D0979823
  • Facility Name: KIDS CARE PC
  • Facility Address: 202 WALNUT ST
    LAWRENCEBURG, IN
    ZIP 47025
  • Facility Phone: 812 539-2142
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: BASHAR BOUSO
  • NPI Number: 1902080294
  • Taxonomy: 173000000X - Legal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D0979823
LAB Type Other
Facility Name KIDS CARE PC
Street 202 WALNUT ST
City LAWRENCEBURG
State IN
ZIP 47025
Phone 812 539-2142
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/1/2024
Certificate Expiration Date 10/31/2026
Facility Type Other
Lab Director BASHAR BOUSO

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