03D0947856 CLIA NUMBER - UNION HILLS FAMILY MEDICINE CENTER

Laboratory Demographics

  • CLIA Code: 03D0947856
  • Facility Name: UNION HILLS FAMILY MEDICINE CENTER
  • Facility Address: 18185 N 83RD AVE BLDG D, STE 107
    GLENDALE, AZ
    ZIP 85308
  • Facility Phone: 623 583-0306
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: SAMYUKTHA SCREENIVASAN
  • NPI Number: 1962447185
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D0947856
LAB Type Physician Office
Facility Name UNION HILLS FAMILY MEDICINE CENTER
Street 18185 N 83RD AVE BLDG D, STE 107
City GLENDALE
State AZ
ZIP 85308
Phone 623 583-0306
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 6/24/2024
Certificate Expiration Date 6/23/2026
Facility Type Physician Office
Lab Director SAMYUKTHA SCREENIVASAN

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