03D0682242 CLIA NUMBER - MESA FAMILY PHYSICIANS PLC

Laboratory Demographics

  • CLIA Code: 03D0682242
  • Facility Name: MESA FAMILY PHYSICIANS PLC
  • Facility Address: 1425 S GREENFIELD RD STE 101
    MESA, AZ
    ZIP 85206
  • Facility Phone: 480 964-5800
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DAVID E. BENTON
  • NPI Number: 1174723274
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D0682242
LAB Type Physician Office
Facility Name MESA FAMILY PHYSICIANS PLC
Street 1425 S GREENFIELD RD STE 101
City MESA
State AZ
ZIP 85206
Phone 480 964-5800
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 DAVID E. BENTON

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