CLIA lab

CLIA 03D1059121: Phoenix Childrens Pediatrics - San Tan

Gilbert, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 03D1059121 belongs to Phoenix Childrens Pediatrics - San Tan in Gilbert, AZ.

Certificate of Waiver, effective September 22, 2026, expires September 21, 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
September 22, 2026
Certificate expiration
September 21, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
September 22, 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
03D1059121
Lab name
Phoenix Childrens Pediatrics - San Tan
Address
1760 E Pecos Rd Ste 207, Gilbert, AZ 85295
Phone
(602) 933-3985
Fax
(602) 933-8959

Annual test volume the lab reported

Waived tests
782

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 Phoenix Childrens Pediatrics - San Tan in Gilbert?

03D1059121, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Phoenix Childrens Pediatrics - San Tan hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 03D1059121 expire?

The CMS file lists September 21, 2028 as the certificate expiration date; the certificate took effect September 22, 2026.

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