03D0878007 CLIA NUMBER - DOUGLAS G BAILES DO

Laboratory Demographics

  • CLIA Code: 03D0878007
  • Facility Name: DOUGLAS G BAILES DO
  • Facility Address: 4344 W BELL RD #101
    GLENDALE, AZ
    ZIP 85308
  • Facility Phone: 602 938-1401
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DOUGLAS G. BAILES DO
  • NPI Number: 1255417416
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 03D0878007
LAB Type Physician Office
Facility Name DOUGLAS G BAILES DO
Street 4344 W BELL RD #101
City GLENDALE
State AZ
ZIP 85308
Phone 602 938-1401
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/15/2025
Certificate Expiration Date 10/14/2027
Facility Type Physician Office
Lab Director DOUGLAS G. BAILES DO

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