03D0983491 CLIA NUMBER - PATCHEN FAMILY PRACTICE GREGORY PATCHEN DO

Laboratory Demographics

  • CLIA Code: 03D0983491
  • Facility Name: PATCHEN FAMILY PRACTICE GREGORY PATCHEN DO
  • Facility Address: 2058 S DOBSON RD STE 15
    MESA, AZ
    ZIP 85202
  • Facility Phone: 480 839-5800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GREGORY A. PATCHEN DO
  • NPI Number: 1649443672
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D0983491
LAB Type Physician Office
Facility Name PATCHEN FAMILY PRACTICE GREGORY PATCHEN DO
Street 2058 S DOBSON RD STE 15
City MESA
State AZ
ZIP 85202
Phone 480 839-5800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/23/2025
Certificate Expiration Date 2/22/2027
Facility Type Physician Office
Lab Director GREGORY A. PATCHEN DO

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