49D2229236 CLIA NUMBER - COMPLETE CARE FOR KIDS PLLC

Laboratory Demographics

  • CLIA Code: 49D2229236
  • Facility Name: COMPLETE CARE FOR KIDS PLLC
  • Facility Address: 13204 HULL STREET ROAD
    MIDLOTHIAN, VA
    ZIP 23112
  • Facility Phone: 804 315-2702
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SYLVIA R. LEE
  • NPI Number: 1598356750
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 49D2229236
LAB Type Physician Office
Facility Name COMPLETE CARE FOR KIDS PLLC
Street 13204 HULL STREET ROAD
City MIDLOTHIAN
State VA
ZIP 23112
Phone 804 315-2702
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/9/2025
Certificate Expiration Date 7/8/2027
Facility Type Physician Office
Lab Director SYLVIA R. LEE

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