17D2033968 CLIA NUMBER - REDBUD PEDIATRICS

Laboratory Demographics

  • CLIA Code: 17D2033968
  • Facility Name: REDBUD PEDIATRICS
  • Facility Address: 8725 E 32ND ST N
    WICHITA, KS
    ZIP 67226
  • Facility Phone: 316 201-1202
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: REBECEA H. REDDY
  • NPI Number: 1255617833
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 17D2033968
LAB Type Physician Office
Facility Name REDBUD PEDIATRICS
Street 8725 E 32ND ST N
City WICHITA
State KS
ZIP 67226
Phone 316 201-1202
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/13/2023
Certificate Expiration Date 12/12/2025
Facility Type Physician Office
Lab Director REBECEA H. REDDY

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