03D0969565 CLIA NUMBER - WELLNESS MEDICAL CLINIC WELLNESS MEDICAL CLINIC,THE

Laboratory Demographics

  • CLIA Code: 03D0969565
  • Facility Name: WELLNESS MEDICAL CLINIC WELLNESS MEDICAL CLINIC,THE
  • Facility Address: 1880 W FRYE RD, STE 1
    CHANDLER, AZ
    ZIP 85224
  • Facility Phone: 480 821-5500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AMMAR ALSHEIKH, MD
  • NPI Number: 1629443809
  • Taxonomy: 261QD0000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D0969565
LAB Type Physician Office
Facility Name WELLNESS MEDICAL CLINIC WELLNESS MEDICAL CLINIC,THE
Street 1880 W FRYE RD, STE 1
City CHANDLER
State AZ
ZIP 85224
Phone 480 821-5500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/19/2024
Certificate Expiration Date 1/18/2026
Facility Type Physician Office
Lab Director AMMAR ALSHEIKH, MD

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