03D0663319 CLIA NUMBER - DESERT KIDNEY ASSOCIATES PLC

Laboratory Demographics

  • CLIA Code: 03D0663319
  • Facility Name: DESERT KIDNEY ASSOCIATES PLC
  • Facility Address: 612 W BASELINE RD
    MESA, AZ
    ZIP 85210
  • Facility Phone: 480 834-9039
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MANINDER P. CHATHA
  • NPI Number: 1144372905
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D0663319
LAB Type Physician Office
Facility Name DESERT KIDNEY ASSOCIATES PLC
Street 612 W BASELINE RD
City MESA
State AZ
ZIP 85210
Phone 480 834-9039
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director MANINDER P. CHATHA

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