03D0886523 CLIA NUMBER - DAVID JOHNSON MD PLLC

Laboratory Demographics

  • CLIA Code: 03D0886523
  • Facility Name: DAVID JOHNSON MD PLLC
  • Facility Address: 10031 E KILAREA AVE
    MESA, AZ
    ZIP 85209
  • Facility Phone: 480 332-6240
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID C. JOHNSON
  • NPI Number: 1023088531
  • Taxonomy: 208600000X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 03D0886523
LAB Type Physician Office
Facility Name DAVID JOHNSON MD PLLC
Street 10031 E KILAREA AVE
City MESA
State AZ
ZIP 85209
Phone 480 332-6240
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/20/2024
Certificate Expiration Date 5/19/2026
Facility Type Physician Office
Lab Director DAVID C. JOHNSON

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