03D1045369 CLIA NUMBER - WEST PHOENIX PEDIATRICS, PLC

Laboratory Demographics

  • CLIA Code: 03D1045369
  • Facility Name: WEST PHOENIX PEDIATRICS, PLC
  • Facility Address: 9305 W THOMAS RD, STE 450
    PHOENIX, AZ
    ZIP 85037
  • Facility Phone: 602 889-6186
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CELIDA RANGEL, MD
  • NPI Number: 1649380205
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 03D1045369
LAB Type Physician Office
Facility Name WEST PHOENIX PEDIATRICS, PLC
Street 9305 W THOMAS RD, STE 450
City PHOENIX
State AZ
ZIP 85037
Phone 602 889-6186
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/13/2025
Certificate Expiration Date 9/12/2027
Facility Type Physician Office
Lab Director CELIDA RANGEL, MD

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