03D1045369 CLIA NUMBER - WEST PHOENIX PEDIATRICS, PLC

Laboratory Demographics

CLIA Number: 03D1045369

Facility Name: WEST PHOENIX PEDIATRICS, PLC

Facility Address:
9305 W THOMAS RD, STE 450
PHOENIX, AZ
ZIP 85037
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Facility Phone Number: 602 889-6186

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1649380205

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

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
CertificateType	4
CertificateEffectiveDate	9/13/2023
CertificateExpirationDate	9/12/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024