03D0956774 CLIA NUMBER - CANYON PEDIATRICS

Laboratory Demographics

  • CLIA Code: 03D0956774
  • Facility Name: CANYON PEDIATRICS
  • Facility Address: 2451 E BASELINE, STE 200
    GILBERT, AZ
    ZIP 85234
  • Facility Phone: 480 507-2199
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: ROBERT KOSIOREK
  • NPI Number: 1831185362
  • Taxonomy: 261QP2300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 03D0956774
LAB Type Other
Facility Name CANYON PEDIATRICS
Street 2451 E BASELINE, STE 200
City GILBERT
State AZ
ZIP 85234
Phone 480 507-2199
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/4/2025
Certificate Expiration Date 2/3/2027
Facility Type Other
Lab Director ROBERT KOSIOREK

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