03D0926919 CLIA NUMBER - VIJAY S GILL MD PC

Laboratory Demographics

  • CLIA Code: 03D0926919
  • Facility Name: VIJAY S GILL MD PC
  • Facility Address: 2152 S VINEYARD AVE STE 119
    MESA, AZ
    ZIP 85210
  • Facility Phone: 480 964-1702
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VIJAY S. GILL
  • NPI Number: 1689647547
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D0926919
LAB Type Physician Office
Facility Name VIJAY S GILL MD PC
Street 2152 S VINEYARD AVE STE 119
City MESA
State AZ
ZIP 85210
Phone 480 964-1702
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/11/2024
Certificate Expiration Date 12/10/2026
Facility Type Physician Office
Lab Director VIJAY S. GILL

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