03D0716347 CLIA NUMBER - WOMEN'S CARE ARIZONA, LLC

Laboratory Demographics

  • CLIA Code: 03D0716347
  • Facility Name: WOMEN'S CARE ARIZONA, LLC
  • Facility Address: 4824 E BASELINE RD, #129
    MESA, AZ
    ZIP 85206
  • Facility Phone: 480 644-1001
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: RUSSELL A. BECK
  • NPI Number: 1578672671
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 03D0716347
LAB Type Physician Office
Facility Name WOMEN'S CARE ARIZONA, LLC
Street 4824 E BASELINE RD, #129
City MESA
State AZ
ZIP 85206
Phone 480 644-1001
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 RUSSELL A. BECK

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