45D2012714 CLIA NUMBER - KIDS WELLNESS CENTER

Laboratory Demographics

  • CLIA Code: 45D2012714
  • Facility Name: KIDS WELLNESS CENTER
  • Facility Address: 3228 I 30 STE 300
    MESQUITE, TX
    ZIP 75150
  • Facility Phone: 972 682-1791
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ERNESTO A. NUNEZ
  • NPI Number: 1427375294
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D2012714
LAB Type Physician Office
Facility Name KIDS WELLNESS CENTER
Street 3228 I 30 STE 300
City MESQUITE
State TX
ZIP 75150
Phone 972 682-1791
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/8/2024
Certificate Expiration Date 9/7/2026
Facility Type Physician Office
Lab Director ERNESTO A. NUNEZ

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