03D0880135 CLIA NUMBER - ARIZONA STATE UNIV WEST STUDENT HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 03D0880135
  • Facility Name: ARIZONA STATE UNIV WEST STUDENT HEALTH SERVICES
  • Facility Address: 4701 WEST THUNDERBIRD ROAD UCB 190
    GLENDALE, AZ
    ZIP 85306
  • Facility Phone: 480 965-1365
  • Facility Type: School/Student Health Service
  • Facility Type: Microscopy
  • Lab Director: JOHN HOPKINS
  • NPI Number: 1255511465
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 03D0880135
LAB Type School/Student Health Service
Facility Name ARIZONA STATE UNIV WEST STUDENT HEALTH SERVICES
Street 4701 WEST THUNDERBIRD ROAD UCB 190
City GLENDALE
State AZ
ZIP 85306
Phone 480 965-1365
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 9/5/2025
Certificate Expiration Date 9/4/2027
Facility Type School/Student Health Service
Lab Director JOHN HOPKINS

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