03D0528324 CLIA NUMBER - WEST VALLEY PEDIATRICS

Laboratory Demographics

  • CLIA Code: 03D0528324
  • Facility Name: WEST VALLEY PEDIATRICS
  • Facility Address: 10750 W MCDOWELL RD SUITE G700
    AVONDALE, AZ
    ZIP 85392
  • Facility Phone: 623 873-0321
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GARY L. BEREBITSKY
  • NPI Number: 1750890075
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 03D0528324
LAB Type Physician Office
Facility Name WEST VALLEY PEDIATRICS
Street 10750 W MCDOWELL RD SUITE G700
City AVONDALE
State AZ
ZIP 85392
Phone 623 873-0321
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/24/2024
Certificate Expiration Date 5/23/2026
Facility Type Physician Office
Lab Director GARY L. BEREBITSKY

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