34D2030275 CLIA NUMBER - QC KIDZ PEDIATRICS, PLLC

Laboratory Demographics

  • CLIA Code: 34D2030275
  • Facility Name: QC KIDZ PEDIATRICS, PLLC
  • Facility Address: 6801 SOUTH BOULEVARD, SUITE E
    CHARLOTTE, NC
    ZIP 28217
  • Facility Phone: 704 643-7200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JANCY UTOH
  • NPI Number: 1952609687
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D2030275
LAB Type Physician Office
Facility Name QC KIDZ PEDIATRICS, PLLC
Street 6801 SOUTH BOULEVARD, SUITE E
City CHARLOTTE
State NC
ZIP 28217
Phone 704 643-7200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/22/2025
Certificate Expiration Date 10/21/2027
Facility Type Physician Office
Lab Director JANCY UTOH

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