03D0890456 CLIA NUMBER - AHWATUKEE URGENT CARE

Laboratory Demographics

  • CLIA Code: 03D0890456
  • Facility Name: AHWATUKEE URGENT CARE
  • Facility Address: 4545 E CHANDLER BLVD
    PHOENIX, AZ
    ZIP 85048
  • Facility Phone: 480 728-4000
  • Facility Type: Other - OP DEPT OF HOSPITAL
  • Facility Type: Waiver
  • Lab Director: MARY M. WAHBAH
  • NPI Number: 1689676256
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 03D0890456
LAB Type Other - OP DEPT OF HOSPITAL
Facility Name AHWATUKEE URGENT CARE
Street 4545 E CHANDLER BLVD
City PHOENIX
State AZ
ZIP 85048
Phone 480 728-4000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/16/2025
Certificate Expiration Date 9/15/2027
Facility Type Other - OP DEPT OF HOSPITAL
Lab Director MARY M. WAHBAH

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