CLIA lab
CLIA 03D2110583: Agave Pediatrics - Deer Valley
Glendale, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D2110583 belongs to Agave Pediatrics - Deer Valley in Glendale, AZ.
Certificate of Waiver, effective March 21, 2026, expires March 20, 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 21, 2026
- Certificate expiration
- March 20, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 21, 2016
- 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
- 03D2110583
- Lab name
- Agave Pediatrics - Deer Valley
- Address
- 3575 W Deer Valley Road, Glendale, AZ 85308
- Phone
- (480) 585-5200
- Fax
- (480) 585-5233
Annual test volume the lab reported
- Waived tests
- 775
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 Agave Pediatrics - Deer Valley in Glendale?
03D2110583, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Agave Pediatrics - Deer Valley hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D2110583 expire?
The CMS file lists March 20, 2028 as the certificate expiration date; the certificate took effect March 21, 2026.