03D2110594 CLIA NUMBER - AGAVE PEDIATRICS - CHANDLER

Laboratory Demographics

CLIA Number: 03D2110594

Facility Name: AGAVE PEDIATRICS - CHANDLER

Facility Address:
1120 S DOBSON RD, BLDG B, SUITE 125
CHANDLER, AZ
ZIP 85286
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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 03D2110594
LAB Type PHYSICIAN OFFICE
Facility Name AGAVE PEDIATRICS - CHANDLER
Street 1120 S DOBSON RD, BLDG B, SUITE 125
City CHANDLER
State AZ
ZIP 85286
Phone (480) 585-5200

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