03D2110583 CLIA NUMBER - Agave Pediatrics - Deer Valley

Laboratory Demographics

CLIA Number:
03D2110583

Facility Name:
Agave Pediatrics - Deer Valley

Facility Address:
3575 W Deer Valley Rd
Glendale, AZ
ZIP 85308

Facility Phone Number:
(480) 585-5200

Facility Type:
PHYSICIAN OFFICE

Certificate Type:
Waiver

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CLIA Record

Field Name Field Value
CLIA Number 03D2110583
LAB Type PHYSICIAN OFFICE
Facility Name Agave Pediatrics - Deer Valley
Street 3575 W Deer Valley Rd
City Glendale
State AZ
ZIP 85308
Phone 4805855200

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This page was last updated on: 12/21/2017