19D2056973 CLIA NUMBER - TKZ PEDIATRICS, LLC

Laboratory Demographics

  • CLIA Code: 19D2056973
  • Facility Name: TKZ PEDIATRICS, LLC
  • Facility Address: 4242 HWY 19, BLDG 3, SUITE A
    ZACHARY, LA
    ZIP 70791
  • Facility Phone: 225 658-7860
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TAIRA WOODROFFE
  • NPI Number: 1184964975
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D2056973
LAB Type Physician Office
Facility Name TKZ PEDIATRICS, LLC
Street 4242 HWY 19, BLDG 3, SUITE A
City ZACHARY
State LA
ZIP 70791
Phone 225 658-7860
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/15/2023
Certificate Expiration Date 10/14/2025
Facility Type Physician Office
Lab Director TAIRA WOODROFFE

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