03D0057140 CLIA NUMBER - PHOENIX CHILDRENS HOSPITAL-THOMAS

Laboratory Demographics

  • CLIA Code: 03D0057140
  • Facility Name: PHOENIX CHILDRENS HOSPITAL-THOMAS
  • Facility Address: 1919 E THOMAS RD
    PHOENIX, AZ
    ZIP 85016
  • Facility Phone: 602 546-1306
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Accreditation
  • Lab Director: DR. DENNIS J. DIETZEN
  • NPI Number: 1154351450
  • Taxonomy: 111NR0400X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 03D0057140
LAB Type Ancillary Testing Site in Health Care Center
Facility Name PHOENIX CHILDRENS HOSPITAL-THOMAS
Street 1919 E THOMAS RD
City PHOENIX
State AZ
ZIP 85016
Phone 602 546-1306
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 1/3/2025
Certificate Expiration Date 1/2/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director DR. DENNIS J. DIETZEN

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