03D2110594 CLIA NUMBER - Agave Pediatrics - Chandler

Laboratory Demographics

CLIA Number:
03D2110594

Facility Name:
Agave Pediatrics - Chandler

Facility Address:
1120 S Dobson Rd, Bldg B, Ste 125
Chandler, AZ
ZIP 85286
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Facility Phone Number:
(480) 585-5200

Facility Type:
PHYSICIAN OFFICE

Certificate Type:
Waiver

CLIA Record

Field Name	Field Value
CLIA Number	03D2110594
LAB Type	PHYSICIAN OFFICE
Facility Name	Agave Pediatrics - Chandler
Street	1120 S Dobson Rd, Bldg B, Ste 125
City	Chandler
State	AZ
ZIP	85286
Phone	4805855200

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