03D1088775 CLIA NUMBER - DESERT SHORES PEDIATRICS, PC

Laboratory Demographics

  • CLIA Code: 03D1088775
  • Facility Name: DESERT SHORES PEDIATRICS, PC
  • Facility Address: 965 W CHANDLER HEIGHTS RD
    CHANDLER, AZ
    ZIP 85248
  • Facility Phone: 480 460-4949
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHRISTINE P. HOLMES
  • NPI Number: 1124386487
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 03D1088775
LAB Type Physician Office
Facility Name DESERT SHORES PEDIATRICS, PC
Street 965 W CHANDLER HEIGHTS RD
City CHANDLER
State AZ
ZIP 85248
Phone 480 460-4949
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/28/2024
Certificate Expiration Date 10/27/2026
Facility Type Physician Office
Lab Director CHRISTINE P. HOLMES

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