03D0530953 CLIA NUMBER - CACTUS CHILDRENS CLINIC

Laboratory Demographics

  • CLIA Code: 03D0530953
  • Facility Name: CACTUS CHILDRENS CLINIC
  • Facility Address: 5940 W UNION HILLS DR, STE D-100
    GLENDALE, AZ
    ZIP 85308
  • Facility Phone: 602 978-2500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEPHEN E. WEST
  • NPI Number: 1891850145
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 03D0530953
LAB Type Physician Office
Facility Name CACTUS CHILDRENS CLINIC
Street 5940 W UNION HILLS DR, STE D-100
City GLENDALE
State AZ
ZIP 85308
Phone 602 978-2500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/4/2024
Certificate Expiration Date 2/3/2026
Facility Type Physician Office
Lab Director STEPHEN E. WEST

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