34D1093271 CLIA NUMBER - KIDZCARE PEDIATRICS PC

Laboratory Demographics

  • CLIA Code: 34D1093271
  • Facility Name: KIDZCARE PEDIATRICS PC
  • Facility Address: 416 MCCULLOUGH DRIVE STE 140
    CHARLOTTE, NC
    ZIP 28262
  • Facility Phone: 704 717-3383
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ASHOKKUMAR C. JAIN
  • NPI Number: 1568082212
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 34D1093271
LAB Type Physician Office
Facility Name KIDZCARE PEDIATRICS PC
Street 416 MCCULLOUGH DRIVE STE 140
City CHARLOTTE
State NC
ZIP 28262
Phone 704 717-3383
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/15/2024
Certificate Expiration Date 12/14/2026
Facility Type Physician Office
Lab Director DR. ASHOKKUMAR C. JAIN

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