03D0527847 CLIA NUMBER - PEDIATRIX

Laboratory Demographics

  • CLIA Code: 03D0527847
  • Facility Name: PEDIATRIX
  • Facility Address: 15650 N BLACK CANYON RD STE A 100
    PHOENIX, AZ
    ZIP 85053
  • Facility Phone: 602 866-0550
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NICHOLAS J. ARGYROS
  • NPI Number: 1639164833
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 03D0527847
LAB Type Physician Office
Facility Name PEDIATRIX
Street 15650 N BLACK CANYON RD STE A 100
City PHOENIX
State AZ
ZIP 85053
Phone 602 866-0550
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/26/2023
Certificate Expiration Date 8/25/2025
Facility Type Physician Office
Lab Director NICHOLAS J. ARGYROS

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This page was last updated on: 6/4/2025