03D0894608 CLIA NUMBER - PINEAPPLE HEALTH

Laboratory Demographics

  • CLIA Code: 03D0894608
  • Facility Name: PINEAPPLE HEALTH
  • Facility Address: 12010 S WARNER-ELLIOT LOOP, STE 1
    PHOENIX, AZ
    ZIP 85044
  • Facility Phone: 480 961-2366
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KEVIN CHAN
  • NPI Number: 1063640977
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D0894608
LAB Type Physician Office
Facility Name PINEAPPLE HEALTH
Street 12010 S WARNER-ELLIOT LOOP, STE 1
City PHOENIX
State AZ
ZIP 85044
Phone 480 961-2366
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/11/2025
Certificate Expiration Date 5/10/2027
Facility Type Physician Office
Lab Director KEVIN CHAN

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