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

Laboratory Demographics

CLIA Number: 03D2051132

Facility Name: PHOENIX CHILDREN'S EMERGENCY DEPARTMENT - AVONDALE

Facility Address:
1665 N AVONDALE BLVD
AVONDALE, AZ
ZIP 85392
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Facility Phone Number: 602 933-6442

Facility Type: Hospital

Certificate Type: Accreditation

NPI Number: 1922347723

Taxonomy: 261QU0200X - Clinic/Center

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
CertificateType 1
CertificateEffectiveDate 4/2/2024
CertificateExpirationDate 4/1/2026
FacilityType Accreditation

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This page was last updated on: 4/23/2024