03D0936361 CLIA NUMBER - PAPAGO DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 03D0936361
  • Facility Name: PAPAGO DIALYSIS CENTER
  • Facility Address: 5115 E THOMAS RD STE 115
    PHOENIX, AZ
    ZIP 85018
  • Facility Phone: 602 840-4124
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: HIMABINDU CHAPARALA
  • NPI Number: 1295070761
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D0936361
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name PAPAGO DIALYSIS CENTER
Street 5115 E THOMAS RD STE 115
City PHOENIX
State AZ
ZIP 85018
Phone 602 840-4124
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/19/2023
Certificate Expiration Date 11/18/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director HIMABINDU CHAPARALA

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