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
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 6238777337

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