03D1055080 CLIA NUMBER - FAMILY FIRST PHYSICIANS PLLC

Laboratory Demographics

  • CLIA Code: 03D1055080
  • Facility Name: FAMILY FIRST PHYSICIANS PLLC
  • Facility Address: 2345 E SOUTHERN AVE #101
    MESA, AZ
    ZIP 85204
  • Facility Phone: 480 893-2345
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALLEN M. GERMAINE, MD
  • NPI Number: 1649225178
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D1055080
LAB Type Physician Office
Facility Name FAMILY FIRST PHYSICIANS PLLC
Street 2345 E SOUTHERN AVE #101
City MESA
State AZ
ZIP 85204
Phone 480 893-2345
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/8/2024
Certificate Expiration Date 6/7/2026
Facility Type Physician Office
Lab Director ALLEN M. GERMAINE, MD

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