03D2142604 CLIA NUMBER - PLEASANT PEDIATRICS

Laboratory Demographics

  • CLIA Code: 03D2142604
  • Facility Name: PLEASANT PEDIATRICS
  • Facility Address: 10204 W HAPPY VALLEY PKWY, STE 160
    PEORIA, AZ
    ZIP 85383
  • Facility Phone: 623 776-7500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SANDHYA S. RAVI
  • NPI Number: 1023401874
  • Taxonomy: 174H00000X - Health Educator

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 03D2142604
LAB Type Physician Office
Facility Name PLEASANT PEDIATRICS
Street 10204 W HAPPY VALLEY PKWY, STE 160
City PEORIA
State AZ
ZIP 85383
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 1/16/2024
Certificate Expiration Date 1/15/2026
Facility Type Physician Office
Lab Director SANDHYA S. RAVI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 6/4/2025