CLIA lab

CLIA 45D2111874: Forever Kids Pediatric Clinic

Canton, TX. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 45D2111874 belongs to Forever Kids Pediatric Clinic in Canton, TX.

Certificate of Waiver, effective April 18, 2026, expires April 17, 2028.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
April 18, 2026
Certificate expiration
April 17, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
April 18, 2016
Facility type
Other practitioner
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
45D2111874
Lab name
Forever Kids Pediatric Clinic
Address
20783 Interstate 20 S Access Rd, Canton, TX 75103
Phone
(903) 567-5437
Fax
(949) 399-6077

Annual test volume the lab reported

Waived tests
500

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Questions

What is the CLIA number for Forever Kids Pediatric Clinic in Canton?

45D2111874, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Forever Kids Pediatric Clinic hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 45D2111874 expire?

The CMS file lists April 17, 2028 as the certificate expiration date; the certificate took effect April 18, 2026.

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