34D1002468 CLIA NUMBER - KIDZCARE PEDIATRICS, PC

Laboratory Demographics

  • CLIA Code: 34D1002468
  • Facility Name: KIDZCARE PEDIATRICS, PC
  • Facility Address: 904 MORVEN ROAD, SUITE 100
    WADESBORO, NC
    ZIP 28170
  • Facility Phone: 704 994-2300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MS. ASHOKKUMAR C. JAIN
  • NPI Number: 1225166804
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 34D1002468
LAB Type Physician Office
Facility Name KIDZCARE PEDIATRICS, PC
Street 904 MORVEN ROAD, SUITE 100
City WADESBORO
State NC
ZIP 28170
Phone 704 994-2300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/25/2025
Certificate Expiration Date 8/24/2027
Facility Type Physician Office
Lab Director MS. ASHOKKUMAR C. JAIN

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