03D1071755 CLIA NUMBER - JJ PEDIATRICS

Laboratory Demographics

  • CLIA Code: 03D1071755
  • Facility Name: JJ PEDIATRICS
  • Facility Address: 21321 E OCOTILLO RD STE 110
    QUEEN CREEK, AZ
    ZIP 85142
  • Facility Phone: 480 677-4545
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRIAN D. DEWITT
  • NPI Number: 1437377439
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 03D1071755
LAB Type Physician Office
Facility Name JJ PEDIATRICS
Street 21321 E OCOTILLO RD STE 110
City QUEEN CREEK
State AZ
ZIP 85142
Phone 480 677-4545
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/31/2025
Certificate Expiration Date 7/30/2027
Facility Type Physician Office
Lab Director BRIAN D. DEWITT

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