03D2124434 CLIA NUMBER - Desert Valley Pediatrics

Laboratory Demographics

CLIA Number: 03D2124434

Facility Name: Desert Valley Pediatrics

Facility Address:
4840 E Indian School Rd, Ste 1
Phoenix, AZ
ZIP 85018
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Facility Phone Number: (623) 877-7337

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1336354984

Taxonomy: 261QP2300X - Clinic/Center

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 1
City	Phoenix
State	AZ
ZIP	85018
Phone	(623) 877-7337

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This page was last updated on: 4/7/2021