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CLIA 03D0959641: Great Destinations Pediatrics PC
Peoria, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D0959641 belongs to Great Destinations Pediatrics PC in Peoria, AZ.
Certificate of Waiver, effective April 15, 2025, expires April 14, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- April 15, 2025
- Certificate expiration
- April 14, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 15, 1999
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Lab and contact
- CLIA number
- 03D0959641
- Lab name
- Great Destinations Pediatrics PC
- Address
- 7757 W Deer Valley Rd Ste 275, Peoria, AZ 85382
- Phone
- (623) 878-2800
- Fax
- (623) 878-9150
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Great Destinations Pediatrics PC in Peoria?
03D0959641, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Great Destinations Pediatrics PC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D0959641 expire?
The CMS file lists April 14, 2027 as the certificate expiration date; the certificate took effect April 15, 2025.
RUN IT IN RIVVI
Map your lab's test names to LOINC codes
Map the testsFree to start. Opens Rivvi, the AI workspace for healthcare teams.
2M+ interactions500K+ patientsHIPAA BAA