45D2313582 CLIA NUMBER - LET'S GROW KIDS CLINIC

Laboratory Demographics

  • CLIA Code: 45D2313582
  • Facility Name: LET'S GROW KIDS CLINIC
  • Facility Address: 2010 GILMER RD STE 103-B
    LONGVIEW, TX
    ZIP 75604
  • Facility Phone: 903 309-5689
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TORI JOHNSTON
  • NPI Number: 1124841085
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D2313582
LAB Type Physician Office
Facility Name LET'S GROW KIDS CLINIC
Street 2010 GILMER RD STE 103-B
City LONGVIEW
State TX
ZIP 75604
Phone 903 309-5689
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/4/2024
Certificate Expiration Date 11/3/2026
Facility Type Physician Office
Lab Director TORI JOHNSTON

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