23D2142336 CLIA NUMBER - MIKIDS PEDIATRICS, PC

Laboratory Demographics

  • CLIA Code: 23D2142336
  • Facility Name: MIKIDS PEDIATRICS, PC
  • Facility Address: 7150 KALAMAZOO AVE SE SUITE A
    CALEDONIA, MI
    ZIP 49316
  • Facility Phone: 616 818-7454
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEPHEN S. MCMAHON
  • NPI Number: 1043722176
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 23D2142336
LAB Type Physician Office
Facility Name MIKIDS PEDIATRICS, PC
Street 7150 KALAMAZOO AVE SE SUITE A
City CALEDONIA
State MI
ZIP 49316
Phone 616 818-7454
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/9/2024
Certificate Expiration Date 1/8/2026
Facility Type Physician Office
Lab Director STEPHEN S. MCMAHON

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