CLIA lab
CLIA 03D1051405: Desert Valley Pediatrics
Surprise, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D1051405 belongs to Desert Valley Pediatrics in Surprise, AZ.
Certificate of Waiver, effective March 1, 2026, expires February 29, 2028.
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
- March 1, 2026
- Certificate expiration
- February 29, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 1, 2006
- 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
Lab and contact
- CLIA number
- 03D1051405
- Lab name
- Desert Valley Pediatrics
- Address
- 15264 W Brookside Lane, Suite 155, Surprise, AZ 85374
- Phone
- (623) 877-7337
- Fax
- (623) 772-0686
Annual test volume the lab reported
- Waived tests
- 5,000
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 Desert Valley Pediatrics in Surprise?
03D1051405, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Desert Valley Pediatrics hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D1051405 expire?
The CMS file lists February 29, 2028 as the certificate expiration date; the certificate took effect March 1, 2026.