45D2167089 CLIA NUMBER - TOTS 2 TEENS KID CARE, PLLC

Laboratory Demographics

  • CLIA Code: 45D2167089
  • Facility Name: TOTS 2 TEENS KID CARE, PLLC
  • Facility Address: 3626 NORTH MACARTHUR BLVD SUITE 100
    IRVING, TX
    ZIP 75062
  • Facility Phone: 972 256-2028
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TAMARA L. MARTIN
  • NPI Number: 1376108944
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2167089
LAB Type Physician Office
Facility Name TOTS 2 TEENS KID CARE, PLLC
Street 3626 NORTH MACARTHUR BLVD SUITE 100
City IRVING
State TX
ZIP 75062
Phone 972 256-2028
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/31/2025
Certificate Expiration Date 5/30/2027
Facility Type Physician Office
Lab Director TAMARA L. MARTIN

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