03D1075749 CLIA NUMBER - NATIVIDAD VERDEJO DBA PACIFIC FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 03D1075749
  • Facility Name: NATIVIDAD VERDEJO DBA PACIFIC FAMILY MEDICINE
  • Facility Address: 2360 W RAY RD SUITE #2
    CHANDLER, AZ
    ZIP 85224
  • Facility Phone: 480 855-3770
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NATIVIDAD VERDEJO MD
  • NPI Number: 1396890612
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 03D1075749
LAB Type Physician Office
Facility Name NATIVIDAD VERDEJO DBA PACIFIC FAMILY MEDICINE
Street 2360 W RAY RD SUITE #2
City CHANDLER
State AZ
ZIP 85224
Phone 480 855-3770
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2023
Certificate Expiration Date 10/25/2025
Facility Type Physician Office
Lab Director NATIVIDAD VERDEJO MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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