03D1061454 CLIA NUMBER - CHRISTIAN CARE MESA, INC DBA FELLOWSHIP SQUARE-MESA

Laboratory Demographics

  • CLIA Code: 03D1061454
  • Facility Name: CHRISTIAN CARE MESA, INC DBA FELLOWSHIP SQUARE-MESA
  • Facility Address: 6945 E MAIN ST
    MESA, AZ
    ZIP 85207
  • Facility Phone: 480 654-1800
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: MELINDA A. DESHLER
  • NPI Number: 1245971944
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 03D1061454
LAB Type Other
Facility Name CHRISTIAN CARE MESA, INC DBA FELLOWSHIP SQUARE-MESA
Street 6945 E MAIN ST
City MESA
State AZ
ZIP 85207
Phone 480 654-1800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/17/2024
Certificate Expiration Date 11/16/2026
Facility Type Other
Lab Director MELINDA A. DESHLER

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