03D2274960 CLIA NUMBER - PLEASANT PEDIATRICS

Laboratory Demographics

  • CLIA Code: 03D2274960
  • Facility Name: PLEASANT PEDIATRICS
  • Facility Address: 20033 N 19TH AVE BLDG STE 100
    PHOENIX, AZ
    ZIP 85027
  • Facility Phone: 623 322-3380
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SANDHYA RAVI
  • NPI Number: 1497465470
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 03D2274960
LAB Type Physician Office
Facility Name PLEASANT PEDIATRICS
Street 20033 N 19TH AVE BLDG STE 100
City PHOENIX
State AZ
ZIP 85027
Phone 623 322-3380
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/12/2025
Certificate Expiration Date 1/11/2027
Facility Type Physician Office
Lab Director SANDHYA RAVI

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