03D2139840 CLIA NUMBER - PLEASANT PEDIATRICS

Laboratory Demographics

  • CLIA Code: 03D2139840
  • Facility Name: PLEASANT PEDIATRICS
  • Facility Address: 9980 W GLENDALE AVE, STE 130
    GLENDALE, AZ
    ZIP 85307
  • Facility Phone: 623 776-7500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SANDHYA S. RAVI
  • NPI Number: 1790025591
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 03D2139840
LAB Type Physician Office
Facility Name PLEASANT PEDIATRICS
Street 9980 W GLENDALE AVE, STE 130
City GLENDALE
State AZ
ZIP 85307
Phone 623 776-7500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/9/2023
Certificate Expiration Date 11/8/2025
Facility Type Physician Office
Lab Director SANDHYA S. RAVI

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This page was last updated on: 9/29/2025