45D2145978 CLIA NUMBER - KIDS KLINIC

Laboratory Demographics

  • CLIA Code: 45D2145978
  • Facility Name: KIDS KLINIC
  • Facility Address: 1860 S INDEPENDENCE PKWY SUITE 100
    MCKINNEY, TX
    ZIP 75070
  • Facility Phone: 646 510-1431
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PRASANTHY CHINNAREDDY
  • NPI Number: 1144728387
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D2145978
LAB Type Physician Office
Facility Name KIDS KLINIC
Street 1860 S INDEPENDENCE PKWY SUITE 100
City MCKINNEY
State TX
ZIP 75070
Phone 646 510-1431
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/20/2024
Certificate Expiration Date 3/19/2026
Facility Type Physician Office
Lab Director PRASANTHY CHINNAREDDY

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This page was last updated on: 6/4/2025