34D0244865 CLIA NUMBER - KIDZCARE PEDIATRICS, PC

Laboratory Demographics

  • CLIA Code: 34D0244865
  • Facility Name: KIDZCARE PEDIATRICS, PC
  • Facility Address: 3115 BORDEAUX PARK DRIVE
    FAYETTEVILLE, NC
    ZIP 28306
  • Facility Phone: 910 307-7337
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ASHOKKUMAR C. JAIN
  • NPI Number: 1548495914
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 34D0244865
LAB Type Physician Office
Facility Name KIDZCARE PEDIATRICS, PC
Street 3115 BORDEAUX PARK DRIVE
City FAYETTEVILLE
State NC
ZIP 28306
Phone 910 307-7337
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/12/2025
Certificate Expiration Date 8/11/2027
Facility Type Physician Office
Lab Director ASHOKKUMAR C. JAIN

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