03D2008581 CLIA NUMBER - HAPPY KIDS PEDIATRICS

Laboratory Demographics

  • CLIA Code: 03D2008581
  • Facility Name: HAPPY KIDS PEDIATRICS
  • Facility Address: 1345 E MAIN ST #103
    MESA, AZ
    ZIP 85203
  • Facility Phone: 480 223-0290
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSE F. CARRAZCO
  • NPI Number: 1366110561
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 03D2008581
LAB Type Physician Office
Facility Name HAPPY KIDS PEDIATRICS
Street 1345 E MAIN ST #103
City MESA
State AZ
ZIP 85203
Phone 480 223-0290
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/20/2025
Certificate Expiration Date 1/19/2027
Facility Type Physician Office
Lab Director JOSE F. CARRAZCO

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