25D2311018 CLIA NUMBER - BY HEALTH LLC DBA KIDMED PEDIATRIC URGENT CARE

Laboratory Demographics

  • CLIA Code: 25D2311018
  • Facility Name: BY HEALTH LLC DBA KIDMED PEDIATRIC URGENT CARE
  • Facility Address: 1423 MAGNOLIA STREET, SUITE I
    GULFPORT, MS
    ZIP 39507
  • Facility Phone: 228 240-8833
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JAMES S. HOLLAND
  • NPI Number: 1356105597
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 25D2311018
LAB Type Physician Office
Facility Name BY HEALTH LLC DBA KIDMED PEDIATRIC URGENT CARE
Street 1423 MAGNOLIA STREET, SUITE I
City GULFPORT
State MS
ZIP 39507
Phone 228 240-8833
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/16/2024
Certificate Expiration Date 9/15/2026
Facility Type Physician Office
Lab Director DR. JAMES S. HOLLAND

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