03D2124434 CLIA NUMBER - DESERT VALLEY PEDIATRICS

Laboratory Demographics

  • CLIA Code: 03D2124434
  • Facility Name: DESERT VALLEY PEDIATRICS
  • Facility Address: 4840 E INDIAN SCHOOL RD, STE 100
    PHOENIX, AZ
    ZIP 85018
  • Facility Phone: 623 877-7337
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER R. SPIEKERMAN
  • NPI Number: 1336354984
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2124434
LAB Type Physician Office
Facility Name DESERT VALLEY PEDIATRICS
Street 4840 E INDIAN SCHOOL RD, STE 100
City PHOENIX
State AZ
ZIP 85018
Phone 623 877-7337
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/17/2025
Certificate Expiration Date 1/16/2027
Facility Type Physician Office
Lab Director CHRISTOPHER R. SPIEKERMAN

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This page was last updated on: 6/4/2025