03D2132924 CLIA NUMBER - SONORAN PEDIATRIC ENDOCRINOLOGY & DIABETES INSTITUTE, PLC

Laboratory Demographics

  • CLIA Code: 03D2132924
  • Facility Name: SONORAN PEDIATRIC ENDOCRINOLOGY & DIABETES INSTITUTE, PLC
  • Facility Address: 5700 W OLIVE AVE STE 106
    GLENDALE, AZ
    ZIP 85302
  • Facility Phone: 480 757-6457
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ARUNA D. PODUVAL
  • NPI Number: 1841721461
  • Taxonomy: 2080P0205X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 03D2132924
LAB Type Physician Office
Facility Name SONORAN PEDIATRIC ENDOCRINOLOGY & DIABETES INSTITUTE, PLC
Street 5700 W OLIVE AVE STE 106
City GLENDALE
State AZ
ZIP 85302
Phone 480 757-6457
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/29/2023
Certificate Expiration Date 6/28/2025
Facility Type Physician Office
Lab Director ARUNA D. PODUVAL

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This page was last updated on: 3/20/2025