03D2123226 CLIA NUMBER - Pediatric Dialysis Center Of Phoenix, Llc

Laboratory Demographics

CLIA Number: 03D2123226

Facility Name: Pediatric Dialysis Center Of Phoenix, Llc

Facility Address:
2545 E Thomas Rd Suite 100,
Phoenix, AZ
ZIP 85016
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Facility Phone Number: (602) 957-1648

Facility Type: END STAGE RENAL DISEASE DIALYSIS

Certificate Type: Waiver

NPI Number: 1841734720
261QE0700X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 03D2123226
LAB Type END STAGE RENAL DISEASE DIALYSIS
Facility Name Pediatric Dialysis Center Of Phoenix, Llc
Street 2545 E Thomas Rd Suite 100,
City Phoenix
State AZ
ZIP 85016
Phone 6029571648

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This page was last updated on: 5/19/2019