03D0979798 CLIA NUMBER - PHOENIX CHILDREN'S HOSPITAL UMOM NEW DAY WELLNESS CLINIC

Laboratory Demographics

  • CLIA Code: 03D0979798
  • Facility Name: PHOENIX CHILDREN'S HOSPITAL UMOM NEW DAY WELLNESS CLINIC
  • Facility Address: 3333 E VAN BUREN
    PHOENIX, AZ
    ZIP 85008
  • Facility Phone: 602 933-1280
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: STACY KENYON
  • NPI Number: 1295028587
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 03D0979798
LAB Type Community Clinic
Facility Name PHOENIX CHILDREN'S HOSPITAL UMOM NEW DAY WELLNESS CLINIC
Street 3333 E VAN BUREN
City PHOENIX
State AZ
ZIP 85008
Phone 602 933-1280
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/31/2024
Certificate Expiration Date 10/30/2026
Facility Type Community Clinic
Lab Director STACY KENYON

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