03D0961007 CLIA NUMBER - PAUL S CHARNETSKY MD, PC

Laboratory Demographics

  • CLIA Code: 03D0961007
  • Facility Name: PAUL S CHARNETSKY MD, PC
  • Facility Address: 13851 W LAMAR BLVD, STE B
    GOODYEAR, AZ
    ZIP 85338
  • Facility Phone: 623 932-2200
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: PAUL S. CHARNETSKY MD
  • NPI Number: 1477515021
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D0961007
LAB Type Physician Office
Facility Name PAUL S CHARNETSKY MD, PC
Street 13851 W LAMAR BLVD, STE B
City GOODYEAR
State AZ
ZIP 85338
Phone 623 932-2200
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 5/25/2025
Certificate Expiration Date 5/24/2027
Facility Type Physician Office
Lab Director PAUL S. CHARNETSKY MD

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