03D0694875 CLIA NUMBER - ARIZONA PEDIATRIC CLINICS PLLC

Laboratory Demographics

  • CLIA Code: 03D0694875
  • Facility Name: ARIZONA PEDIATRIC CLINICS PLLC
  • Facility Address: 809 EAST WASHINGTON STREET #106
    PHOENIX, AZ
    ZIP 85034
  • Facility Phone: 602 340-9455
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EDWARD E. QUIROZ
  • NPI Number: 1497964449
  • Taxonomy: 2080A0000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 03D0694875
LAB Type Physician Office
Facility Name ARIZONA PEDIATRIC CLINICS PLLC
Street 809 EAST WASHINGTON STREET #106
City PHOENIX
State AZ
ZIP 85034
Phone 602 340-9455
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director EDWARD E. QUIROZ

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