03D0902750 CLIA NUMBER - PASEO MEDICAL SPECIALISTS

Laboratory Demographics

  • CLIA Code: 03D0902750
  • Facility Name: PASEO MEDICAL SPECIALISTS
  • Facility Address: 13606 N 59TH AVE STE 1
    GLENDALE, AZ
    ZIP 85304
  • Facility Phone: 602 978-6100
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: MANJIT BHAMRAH
  • NPI Number: 1235160995
  • Taxonomy: 207RP1001X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D0902750
LAB Type Physician Office
Facility Name PASEO MEDICAL SPECIALISTS
Street 13606 N 59TH AVE STE 1
City GLENDALE
State AZ
ZIP 85304
Phone 602 978-6100
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 2/13/2025
Certificate Expiration Date 2/12/2027
Facility Type Physician Office
Lab Director MANJIT BHAMRAH

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