03D0955733 CLIA NUMBER - DESERT WILLOW PEDIATRICS

Laboratory Demographics

  • CLIA Code: 03D0955733
  • Facility Name: DESERT WILLOW PEDIATRICS
  • Facility Address: 6369 E TANQUE VERDE, SUITE 190
    TUCSON, AZ
    ZIP 85715
  • Facility Phone: 520 751-4124
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOY B. PESKIN
  • NPI Number: 1871041863
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 03D0955733
LAB Type Physician Office
Facility Name DESERT WILLOW PEDIATRICS
Street 6369 E TANQUE VERDE, SUITE 190
City TUCSON
State AZ
ZIP 85715
Phone 520 751-4124
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/7/2025
Certificate Expiration Date 1/6/2027
Facility Type Physician Office
Lab Director JOY B. PESKIN

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