03D1077562 CLIA NUMBER - PLEASANT PEDIATRICS

Laboratory Demographics

  • CLIA Code: 03D1077562
  • Facility Name: PLEASANT PEDIATRICS
  • Facility Address: 9059 W LAKE PLEASANT PKWY
    PEORIA, AZ
    ZIP 85382
  • Facility Phone: 623 322-3380
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SANDHYA S. RAVI, MD
  • NPI Number: 1245703966
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 03D1077562
LAB Type Physician Office
Facility Name PLEASANT PEDIATRICS
Street 9059 W LAKE PLEASANT PKWY
City PEORIA
State AZ
ZIP 85382
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 12/13/2023
Certificate Expiration Date 12/12/2025
Facility Type Physician Office
Lab Director SANDHYA S. RAVI, MD

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