03D2028035 CLIA NUMBER - ALL-STAR PEDIATRICS PLLC

Laboratory Demographics

  • CLIA Code: 03D2028035
  • Facility Name: ALL-STAR PEDIATRICS PLLC
  • Facility Address: 4915 E BASELINE RD, STE119
    GILBERT, AZ
    ZIP 85234
  • Facility Phone: 480 832-0480
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: D STEPHEN MOUSSER
  • NPI Number: 1073801056
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 03D2028035
LAB Type Physician Office
Facility Name ALL-STAR PEDIATRICS PLLC
Street 4915 E BASELINE RD, STE119
City GILBERT
State AZ
ZIP 85234
Phone 480 832-0480
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/8/2025
Certificate Expiration Date 8/7/2027
Facility Type Physician Office
Lab Director D STEPHEN MOUSSER

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