03D0930568 CLIA NUMBER - DESERT GROVE FAMILY MEDICAL

Laboratory Demographics

  • CLIA Code: 03D0930568
  • Facility Name: DESERT GROVE FAMILY MEDICAL
  • Facility Address: 10238 E HAMPTON AVE #508
    MESA, AZ
    ZIP 85209
  • Facility Phone: 480 834-7546
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RICHARD J. DINSDALE MD
  • NPI Number: 1093764938
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D0930568
LAB Type Physician Office
Facility Name DESERT GROVE FAMILY MEDICAL
Street 10238 E HAMPTON AVE #508
City MESA
State AZ
ZIP 85209
Phone 480 834-7546
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/15/2025
Certificate Expiration Date 7/14/2027
Facility Type Physician Office
Lab Director RICHARD J. DINSDALE MD

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