03D0955753 CLIA NUMBER - EAST VALLEY PRIMARY CARE PHYSICIANS

Laboratory Demographics

  • CLIA Code: 03D0955753
  • Facility Name: EAST VALLEY PRIMARY CARE PHYSICIANS
  • Facility Address: 4515 S MCCLINTOCK DR STE 100
    TEMPE, AZ
    ZIP 85282
  • Facility Phone: 480 820-1133
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JODIE J. CAMPBELL RN
  • NPI Number: 1538177449
  • Taxonomy: 207QA0505X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 03D0955753
LAB Type Physician Office
Facility Name EAST VALLEY PRIMARY CARE PHYSICIANS
Street 4515 S MCCLINTOCK DR STE 100
City TEMPE
State AZ
ZIP 85282
Phone 480 820-1133
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 1/8/2025
Certificate Expiration Date 1/7/2027
Facility Type Physician Office
Lab Director JODIE J. CAMPBELL RN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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