03D2168729 CLIA NUMBER - JB HEALTHCARE/LITTLE STAR PEDIATRICS

Laboratory Demographics

  • CLIA Code: 03D2168729
  • Facility Name: JB HEALTHCARE/LITTLE STAR PEDIATRICS
  • Facility Address: 10575 W INDIAN SCHOOL RD SUITE E-103
    AVONDALE, AZ
    ZIP 85392
  • Facility Phone: 480 747-0045
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AMEETA CHOWDHARY
  • NPI Number: 1780146829
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 03D2168729
LAB Type Physician Office
Facility Name JB HEALTHCARE/LITTLE STAR PEDIATRICS
Street 10575 W INDIAN SCHOOL RD SUITE E-103
City AVONDALE
State AZ
ZIP 85392
Phone 480 747-0045
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/8/2025
Certificate Expiration Date 7/7/2027
Facility Type Physician Office
Lab Director AMEETA CHOWDHARY

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