03D0527846 CLIA NUMBER - NORTHWEST CLINIC FOR CHILDREN

Laboratory Demographics

  • CLIA Code: 03D0527846
  • Facility Name: NORTHWEST CLINIC FOR CHILDREN
  • Facility Address: 15420 N 32ND DR
    PHOENIX, AZ
    ZIP 85053
  • Facility Phone: 602 866-1974
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KAREN L. BROWN
  • NPI Number: 1083815666
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 03D0527846
LAB Type Physician Office
Facility Name NORTHWEST CLINIC FOR CHILDREN
Street 15420 N 32ND DR
City PHOENIX
State AZ
ZIP 85053
Phone 602 866-1974
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/31/2025
Certificate Expiration Date 8/30/2027
Facility Type Physician Office
Lab Director KAREN L. BROWN

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