03D2123871 CLIA NUMBER - ARIZONA KIDS PEDIATRICS

Laboratory Demographics

CLIA Number: 03D2123871

Facility Name: ARIZONA KIDS PEDIATRICS

Facility Address:
14823 W BELL RD, STE 208
SURPRISE, AZ
ZIP 85374
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Facility Phone Number: (623) 225-7030

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1609311109

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	03D2123871
LAB Type	PHYSICIAN OFFICE
Facility Name	ARIZONA KIDS PEDIATRICS
Street	14823 W BELL RD, STE 208
City	SURPRISE
State	AZ
ZIP	85374
Phone	(623) 225-7030

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