45D1010823 CLIA NUMBER - KID FRIENDLY PEDIATRICS

Laboratory Demographics

  • CLIA Code: 45D1010823
  • Facility Name: KID FRIENDLY PEDIATRICS
  • Facility Address: 2376 LAVON DRIVE SUITE 130
    GARLAND, TX
    ZIP 75040
  • Facility Phone: 972 496-6633
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EWA K. STEWART
  • NPI Number: 1003356536
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D1010823
LAB Type Physician Office
Facility Name KID FRIENDLY PEDIATRICS
Street 2376 LAVON DRIVE SUITE 130
City GARLAND
State TX
ZIP 75040
Phone 972 496-6633
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/24/2025
Certificate Expiration Date 3/23/2027
Facility Type Physician Office
Lab Director EWA K. STEWART

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