03D2146572 CLIA NUMBER - PEDIALABS, INC

Laboratory Demographics

  • CLIA Code: 03D2146572
  • Facility Name: PEDIALABS, INC
  • Facility Address: 1565 W PLANA AVE
    MESA, AZ
    ZIP 85202
  • Facility Phone: 480 395-3972
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: MARIA S. ATKINS
  • NPI Number: 1245767870
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 03D2146572
LAB Type Independent
Facility Name PEDIALABS, INC
Street 1565 W PLANA AVE
City MESA
State AZ
ZIP 85202
Phone 480 395-3972
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/2/2024
Certificate Expiration Date 4/1/2026
Facility Type Independent
Lab Director MARIA S. ATKINS

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