03D1057334 CLIA NUMBER - PLEASANT PEDIATRICS-ANTHEM

Laboratory Demographics

  • CLIA Code: 03D1057334
  • Facility Name: PLEASANT PEDIATRICS-ANTHEM
  • Facility Address: 41930 N VENTURE DRIVE SUITE 160
    ANTHEM, AZ
    ZIP 85086
  • Facility Phone: 623 322-3380
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SANDHYA RAVI
  • NPI Number: 1417050048
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 03D1057334
LAB Type Physician Office
Facility Name PLEASANT PEDIATRICS-ANTHEM
Street 41930 N VENTURE DRIVE SUITE 160
City ANTHEM
State AZ
ZIP 85086
Phone 623 322-3380
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/8/2024
Certificate Expiration Date 8/7/2026
Facility Type Physician Office
Lab Director SANDHYA RAVI

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