03D2161301 CLIA NUMBER - TLC PEDIATRICS

Laboratory Demographics

  • CLIA Code: 03D2161301
  • Facility Name: TLC PEDIATRICS
  • Facility Address: 1783 E QUEEN CREEK ROAD STE 4
    CHANDLER, AZ
    ZIP 85286
  • Facility Phone: 480 940-8527
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NOELLE E. MILLER
  • NPI Number: 1154530111
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 03D2161301
LAB Type Physician Office
Facility Name TLC PEDIATRICS
Street 1783 E QUEEN CREEK ROAD STE 4
City CHANDLER
State AZ
ZIP 85286
Phone 480 940-8527
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/31/2025
Certificate Expiration Date 1/30/2027
Facility Type Physician Office
Lab Director NOELLE E. MILLER

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