03D2124434 CLIA NUMBER - DESERT VALLEY PEDIATRICS

Laboratory Demographics

CLIA Number: 03D2124434

Facility Name: DESERT VALLEY PEDIATRICS

Facility Address:
4840 E INDIAN SCHOOL RD, STE 100
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 100
City	PHOENIX
State	AZ
ZIP	85018
Phone	(623) 877-7337

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