34D1095463 CLIA NUMBER - KIDZCARE PEDIATRICS, PC

Laboratory Demographics

  • CLIA Code: 34D1095463
  • Facility Name: KIDZCARE PEDIATRICS, PC
  • Facility Address: 5335 YADKIN ROAD
    FAYETTEVILLE, NC
    ZIP 28303
  • Facility Phone: 910 826-7337
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ASHOKKUMAR C. JAIN
  • NPI Number: 1164657532
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 34D1095463
LAB Type Physician Office
Facility Name KIDZCARE PEDIATRICS, PC
Street 5335 YADKIN ROAD
City FAYETTEVILLE
State NC
ZIP 28303
Phone 910 826-7337
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/10/2025
Certificate Expiration Date 2/9/2027
Facility Type Physician Office
Lab Director ASHOKKUMAR C. JAIN

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