03D0935804 CLIA NUMBER - FREEDOM PLAZA CARE CTR

Laboratory Demographics

  • CLIA Code: 03D0935804
  • Facility Name: FREEDOM PLAZA CARE CTR
  • Facility Address: 13714 N PLAZA DEL RIO BLVD
    PEORIA, AZ
    ZIP 85381
  • Facility Phone: 623 815-6100
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CAROLYN S. WILD RN BS
  • NPI Number: 1861442063
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 03D0935804
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name FREEDOM PLAZA CARE CTR
Street 13714 N PLAZA DEL RIO BLVD
City PEORIA
State AZ
ZIP 85381
Phone 623 815-6100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/19/2024
Certificate Expiration Date 6/18/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director CAROLYN S. WILD RN BS

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