45D0985999 CLIA NUMBER - KIDCARE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 45D0985999
  • Facility Name: KIDCARE PEDIATRICS
  • Facility Address: 230 NORTH RUFE SNOW
    KELLER, TX
    ZIP 76248
  • Facility Phone: 817 337-5503
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: OMAR A. GOMEZ MD
  • NPI Number: 1164541967
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D0985999
LAB Type Physician Office
Facility Name KIDCARE PEDIATRICS
Street 230 NORTH RUFE SNOW
City KELLER
State TX
ZIP 76248
Phone 817 337-5503
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/4/2025
Certificate Expiration Date 5/3/2027
Facility Type Physician Office
Lab Director OMAR A. GOMEZ MD

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