03D2132924 CLIA NUMBER - SONORAN PEDIATRIC ENDOCRINOLOGY & DIABETES

Laboratory Demographics

CLIA Number: 03D2132924

Facility Name: SONORAN PEDIATRIC ENDOCRINOLOGY & DIABETES

Facility Address:
5700 W OLIVE AVE STE 106
GLENDALE, AZ
ZIP 85302
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Facility Phone Number: (480) 757-6457

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1841721461

Taxonomy: 2080P0205X - Pediatrics
A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.

CLIA Record

Field Name	Field Value
CLIA Number	03D2132924
LAB Type	PHYSICIAN OFFICE
Facility Name	SONORAN PEDIATRIC ENDOCRINOLOGY & DIABETES
Street	5700 W OLIVE AVE STE 106
City	GLENDALE
State	AZ
ZIP	85302
Phone	(480) 757-6457

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