03D0704259 CLIA NUMBER - NATIVE HEALTH

Laboratory Demographics

  • CLIA Code: 03D0704259
  • Facility Name: NATIVE HEALTH
  • Facility Address: 4041 N CENTRAL AVE, BUILDING C
    PHOENIX, AZ
    ZIP 85012
  • Facility Phone: 602 279-5262
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: VAFA MATIN
  • NPI Number: 1700904075
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D0704259
LAB Type Community Clinic
Facility Name NATIVE HEALTH
Street 4041 N CENTRAL AVE, BUILDING C
City PHOENIX
State AZ
ZIP 85012
Phone 602 279-5262
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 3/16/2025
Certificate Expiration Date 3/15/2027
Facility Type Community Clinic
Lab Director VAFA MATIN

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