03D2215326 CLIA NUMBER - RIVERSIDE TRADITIONAL SCHOOL

Laboratory Demographics

  • CLIA Code: 03D2215326
  • Facility Name: RIVERSIDE TRADITIONAL SCHOOL
  • Facility Address: 1414 S 51ST AVE
    PHOENIX, AZ
    ZIP 85043
  • Facility Phone: 602 272-1339
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: FRANCISCA I. MONTIEL
  • NPI Number: 1811156375
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 03D2215326
LAB Type School/Student Health Service
Facility Name RIVERSIDE TRADITIONAL SCHOOL
Street 1414 S 51ST AVE
City PHOENIX
State AZ
ZIP 85043
Phone 602 272-1339
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/2/2025
Certificate Expiration Date 3/1/2027
Facility Type School/Student Health Service
Lab Director FRANCISCA I. MONTIEL

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