03D0955082 CLIA NUMBER - HEALTHFIRST PRIMARY CARE PLLC

Laboratory Demographics

  • CLIA Code: 03D0955082
  • Facility Name: HEALTHFIRST PRIMARY CARE PLLC
  • Facility Address: 2153 E BASELINE RD STE 101
    TEMPE, AZ
    ZIP 85283
  • Facility Phone: 480 820-1855
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHOBHA PARVATHALA MD
  • NPI Number: 1003086935
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D0955082
LAB Type Physician Office
Facility Name HEALTHFIRST PRIMARY CARE PLLC
Street 2153 E BASELINE RD STE 101
City TEMPE
State AZ
ZIP 85283
Phone 480 820-1855
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/17/2024
Certificate Expiration Date 12/16/2026
Facility Type Physician Office
Lab Director SHOBHA PARVATHALA MD

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