03D2110583 CLIA NUMBER - AGAVE PEDIATRICS - DEER VALLEY

Laboratory Demographics

CLIA Number: 03D2110583

Facility Name: AGAVE PEDIATRICS - DEER VALLEY

Facility Address:
3575 W DEER VALLEY ROAD
GLENDALE, AZ
ZIP 85308
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Facility Phone Number: (480) 585-5200

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1629076518

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name	Field Value
CLIA Number	03D2110583
LAB Type	PHYSICIAN OFFICE
Facility Name	AGAVE PEDIATRICS - DEER VALLEY
Street	3575 W DEER VALLEY ROAD
City	GLENDALE
State	AZ
ZIP	85308
Phone	(480) 585-5200

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This page was last updated on: 5/11/2023