34D2263537 CLIA NUMBER - HEALTHY KIDZ

Laboratory Demographics

  • CLIA Code: 34D2263537
  • Facility Name: HEALTHY KIDZ
  • Facility Address: 10410 PARK ROAD, STE 100
    CHARLOTTE, NC
    ZIP 28210
  • Facility Phone: 704 540-6860
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SAILAKSHMI PALLIMALLI
  • NPI Number: 1326785551
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 34D2263537
LAB Type Physician Office
Facility Name HEALTHY KIDZ
Street 10410 PARK ROAD, STE 100
City CHARLOTTE
State NC
ZIP 28210
Phone 704 540-6860
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/29/2024
Certificate Expiration Date 6/28/2026
Facility Type Physician Office
Lab Director DR. SAILAKSHMI PALLIMALLI

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