45D1105348 CLIA NUMBER - KIDS WAY CLINIC

Laboratory Demographics

  • CLIA Code: 45D1105348
  • Facility Name: KIDS WAY CLINIC
  • Facility Address: 210 LAKE RD SUITE 800B
    LAKE JACKSON, TX
    ZIP 77566
  • Facility Phone: 979 299-6400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SREEKAR MARUVADA
  • NPI Number: 1932330917
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D1105348
LAB Type Physician Office
Facility Name KIDS WAY CLINIC
Street 210 LAKE RD SUITE 800B
City LAKE JACKSON
State TX
ZIP 77566
Phone 979 299-6400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/22/2025
Certificate Expiration Date 9/21/2027
Facility Type Physician Office
Lab Director SREEKAR MARUVADA

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