03D0692210 CLIA NUMBER - PHOENIX CHILDREN'S CENTER

Laboratory Demographics

  • CLIA Code: 03D0692210
  • Facility Name: PHOENIX CHILDREN'S CENTER
  • Facility Address: 1661 E CAMELBACK RD, STE 170
    PHOENIX, AZ
    ZIP 85016
  • Facility Phone: 602 263-9550
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARTIN S. KAYE, MD
  • NPI Number: 1376944298
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D0692210
LAB Type Physician Office
Facility Name PHOENIX CHILDREN'S CENTER
Street 1661 E CAMELBACK RD, STE 170
City PHOENIX
State AZ
ZIP 85016
Phone 602 263-9550
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/7/2024
Certificate Expiration Date 12/6/2026
Facility Type Physician Office
Lab Director MARTIN S. KAYE, MD

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