03D1018440 CLIA NUMBER - EBONY HOUSE INC

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CLIA Record

Field Name Field Value
CLIA Number 03D1018440
LAB Type Other
Facility Name EBONY HOUSE INC
Street 39 E JACKSON
City PHOENIX
State AZ
ZIP 85004
Phone 602 276-4288
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/22/2023
Certificate Expiration Date 10/21/2025
Facility Type Other
Lab Director CALICIA WHITE

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