03D2051132 CLIA NUMBER - PHOENIX CHILDREN'S EMERGENCY DEPARTMENT - AVONDALE

Laboratory Demographics

  • CLIA Code: 03D2051132
  • Facility Name: PHOENIX CHILDREN'S EMERGENCY DEPARTMENT - AVONDALE
  • Facility Address: 1665 N AVONDALE BLVD
    AVONDALE, AZ
    ZIP 85392
  • Facility Phone: 602 933-6442
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. STACY KENYON
  • NPI Number: 1922347723
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2051132
LAB Type Hospital
Facility Name PHOENIX CHILDREN'S EMERGENCY DEPARTMENT - AVONDALE
Street 1665 N AVONDALE BLVD
City AVONDALE
State AZ
ZIP 85392
Phone 602 933-6442
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 4/2/2024
Certificate Expiration Date 4/1/2026
Facility Type Hospital
Lab Director DR. STACY KENYON

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