03D2314054 CLIA NUMBER - PHOENIX CHILDREN'S CRITICAL TRANSPORT SERVICES

Laboratory Demographics

  • CLIA Code: 03D2314054
  • Facility Name: PHOENIX CHILDREN'S CRITICAL TRANSPORT SERVICES
  • Facility Address: 1919 E THOMAS RD E BUILDING STE 1461
    PHOENIX, AZ
    ZIP 85016
  • Facility Phone: 602 933-6442
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: STACY KENYON
  • NPI Number: 1154660959
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2314054
LAB Type Ambulance
Facility Name PHOENIX CHILDREN'S CRITICAL TRANSPORT SERVICES
Street 1919 E THOMAS RD E BUILDING STE 1461
City PHOENIX
State AZ
ZIP 85016
Phone 602 933-6442
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/12/2024
Certificate Expiration Date 11/11/2026
Facility Type Ambulance
Lab Director STACY KENYON

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