45D2049542 CLIA NUMBER - OMAR A GOMEZ MD, PA D/B/A KID CARE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 45D2049542
  • Facility Name: OMAR A GOMEZ MD, PA D/B/A KID CARE PEDIATRICS
  • Facility Address: 590 FM 156 SOUTH # 100
    HASLET, TX
    ZIP 76052
  • Facility Phone: 817 337-5503
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BERTHA GOMEZ
  • NPI Number: 1376507673
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D2049542
LAB Type Physician Office
Facility Name OMAR A GOMEZ MD, PA D/B/A KID CARE PEDIATRICS
Street 590 FM 156 SOUTH # 100
City HASLET
State TX
ZIP 76052
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 11/7/2024
Certificate Expiration Date 11/6/2026
Facility Type Physician Office
Lab Director BERTHA GOMEZ

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