23D2044586 CLIA NUMBER - KID KARE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 23D2044586
  • Facility Name: KID KARE PEDIATRICS
  • Facility Address: 6636 N TELEGRAPH ROAD
    DEARBORN HEIGHTS, MI
    ZIP 48127
  • Facility Phone: 313 274-3123
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HAISSAM G. EL-TAKECH
  • NPI Number: 1093005613
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 23D2044586
LAB Type Physician Office
Facility Name KID KARE PEDIATRICS
Street 6636 N TELEGRAPH ROAD
City DEARBORN HEIGHTS
State MI
ZIP 48127
Phone 313 274-3123
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/26/2024
Certificate Expiration Date 7/25/2026
Facility Type Physician Office
Lab Director HAISSAM G. EL-TAKECH

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