23D2084938 CLIA NUMBER - KIDS FIRST PEDIATRICS, PLLC

Laboratory Demographics

  • CLIA Code: 23D2084938
  • Facility Name: KIDS FIRST PEDIATRICS, PLLC
  • Facility Address: 350 E NINE MILE ROAD SUITE 1
    HAZEL PARK, MI
    ZIP 48030
  • Facility Phone: 248 397-8031
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AMI A. HATTA
  • NPI Number: 1114322559
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 23D2084938
LAB Type Physician Office
Facility Name KIDS FIRST PEDIATRICS, PLLC
Street 350 E NINE MILE ROAD SUITE 1
City HAZEL PARK
State MI
ZIP 48030
Phone 248 397-8031
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2024
Certificate Expiration Date 10/5/2026
Facility Type Physician Office
Lab Director AMI A. HATTA

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