03D0909135 CLIA NUMBER - CROSSROADS PEDIATRICS, PLLC

Laboratory Demographics

  • CLIA Code: 03D0909135
  • Facility Name: CROSSROADS PEDIATRICS, PLLC
  • Facility Address: 655 S DOBSON RD, STE B-218
    CHANDLER, AZ
    ZIP 85224
  • Facility Phone: 480 722-1180
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EDWARD J. MADRID, MD
  • NPI Number: 1083606529
  • Taxonomy: 208000000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 03D0909135
LAB Type Physician Office
Facility Name CROSSROADS PEDIATRICS, PLLC
Street 655 S DOBSON RD, STE B-218
City CHANDLER
State AZ
ZIP 85224
Phone 480 722-1180
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/27/2023
Certificate Expiration Date 11/26/2025
Facility Type Physician Office
Lab Director EDWARD J. MADRID, MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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