03D0527131 CLIA NUMBER - DESERT HAVEN NURSING CTR

Laboratory Demographics

  • CLIA Code: 03D0527131
  • Facility Name: DESERT HAVEN NURSING CTR
  • Facility Address: 2645 E THOMAS RD
    PHOENIX, AZ
    ZIP 85016
  • Facility Phone: 602 956-8000
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: B J LAINGRA
  • NPI Number: 1811096738
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 03D0527131
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name DESERT HAVEN NURSING CTR
Street 2645 E THOMAS RD
City PHOENIX
State AZ
ZIP 85016
Phone 602 956-8000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director B J LAINGRA

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