23D2246034 CLIA NUMBER - KIDOLOGY PEDIATRICS, PLLC

Laboratory Demographics

  • CLIA Code: 23D2246034
  • Facility Name: KIDOLOGY PEDIATRICS, PLLC
  • Facility Address: 4967 CROOKS ROAD SUITE 250
    TROY, MI
    ZIP 48098
  • Facility Phone: 248 654-6499
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NEETHI R. PATEL
  • NPI Number: 1639837917
  • Taxonomy: 208000000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 23D2246034
LAB Type Physician Office
Facility Name KIDOLOGY PEDIATRICS, PLLC
Street 4967 CROOKS ROAD SUITE 250
City TROY
State MI
ZIP 48098
Phone 248 654-6499
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/20/2023
Certificate Expiration Date 12/19/2025
Facility Type Physician Office
Lab Director NEETHI R. PATEL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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