50D1070720 CLIA NUMBER - PEDIATRICS FOR YOU, PLLC

Laboratory Demographics

  • CLIA Code: 50D1070720
  • Facility Name: PEDIATRICS FOR YOU, PLLC
  • Facility Address: 6802 W RIO GRANDE AVE STE 1
    KENNEWICK, WA
    ZIP 99336
  • Facility Phone: (509) 572-2201
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHAKITI K. MATTA
  • NPI Number: 1427240449
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 50D1070720
LAB Type Physician Office
Facility Name PEDIATRICS FOR YOU, PLLC
Street 6802 W RIO GRANDE AVE STE 1
City KENNEWICK
State WA
ZIP 99336
Phone 5095722201
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/6/2007
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director SHAKITI K. MATTA

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This page was last updated on: 5/18/2026