03D0713690 CLIA NUMBER - MARK BURNES MD

Laboratory Demographics

  • CLIA Code: 03D0713690
  • Facility Name: MARK BURNES MD
  • Facility Address: 14940 W INDIAN SCHOOL RD, STE 400
    GOODYEAR, AZ
    ZIP 85395
  • Facility Phone: 623 935-3688
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK BURNES MD
  • NPI Number: 1073660338
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 03D0713690
LAB Type Physician Office
Facility Name MARK BURNES MD
Street 14940 W INDIAN SCHOOL RD, STE 400
City GOODYEAR
State AZ
ZIP 85395
Phone 623 935-3688
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 Physician Office
Lab Director MARK BURNES MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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