03D1031303 CLIA NUMBER - AKDHC - MARYVALE

Laboratory Demographics

  • CLIA Code: 03D1031303
  • Facility Name: AKDHC - MARYVALE
  • Facility Address: 4901 W MCDOWELL RD
    PHOENIX, AZ
    ZIP 85035
  • Facility Phone: 623 849-9088
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VALENTIN ZAHARIA
  • NPI Number: 1528427317
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D1031303
LAB Type Physician Office
Facility Name AKDHC - MARYVALE
Street 4901 W MCDOWELL RD
City PHOENIX
State AZ
ZIP 85035
Phone 623 849-9088
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/11/2024
Certificate Expiration Date 10/10/2026
Facility Type Physician Office
Lab Director VALENTIN ZAHARIA

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