03D2023411 CLIA NUMBER - SUNSHINE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 03D2023411
  • Facility Name: SUNSHINE PEDIATRICS
  • Facility Address: 5040 N 15TH AVE, STE 104
    PHOENIX, AZ
    ZIP 85015
  • Facility Phone: 623 245-0505
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MARITZA I. IRIZARRY
  • NPI Number: 1548273113
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 03D2023411
LAB Type Practitioner Other
Facility Name SUNSHINE PEDIATRICS
Street 5040 N 15TH AVE, STE 104
City PHOENIX
State AZ
ZIP 85015
Phone 623 245-0505
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/21/2025
Certificate Expiration Date 4/20/2027
Facility Type Practitioner Other
Lab Director MARITZA I. IRIZARRY

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