03D0892957 CLIA NUMBER - CASA GRANDE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 03D0892957
  • Facility Name: CASA GRANDE PEDIATRICS
  • Facility Address: 1760 E FLORENCE BLVD STE 220
    CASA GRANDE, AZ
    ZIP 85222
  • Facility Phone: 520 836-2424
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEVEN I. SPIESS
  • NPI Number: 1881783835
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 03D0892957
LAB Type Physician Office
Facility Name CASA GRANDE PEDIATRICS
Street 1760 E FLORENCE BLVD STE 220
City CASA GRANDE
State AZ
ZIP 85222
Phone 520 836-2424
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/12/2024
Certificate Expiration Date 10/11/2026
Facility Type Physician Office
Lab Director STEVEN I. SPIESS

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