03D2161301 CLIA NUMBER - TLC PEDIATRICS

Laboratory Demographics

CLIA Number: 03D2161301

Facility Name: TLC PEDIATRICS

Facility Address:
1783 E QUEEN CREEK ROAD UNIT 104
CHANDLER, AZ
ZIP 85286
Get Directions

Facility Phone Number: 480 940-8527

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1154530111

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	03D2161301
LAB Type	Physician Office
Facility Name	TLC PEDIATRICS
Street	1783 E QUEEN CREEK ROAD UNIT 104
City	CHANDLER
State	AZ
ZIP	85286
Phone	480 940-8527
CertificateType	4
CertificateEffectiveDate	1/31/2023
CertificateExpirationDate	1/30/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024