03D1069285 CLIA NUMBER - CEDARS HEART CLINIC, LLC

Laboratory Demographics

  • CLIA Code: 03D1069285
  • Facility Name: CEDARS HEART CLINIC, LLC
  • Facility Address: 1960 W FRYE RD, STE 5
    CHANDLER, AZ
    ZIP 85224
  • Facility Phone: 480 917-5900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ZIAD M. ELGHOUL, MD
  • NPI Number: 1902815897
  • Taxonomy: 207RI0011X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D1069285
LAB Type Physician Office
Facility Name CEDARS HEART CLINIC, LLC
Street 1960 W FRYE RD, STE 5
City CHANDLER
State AZ
ZIP 85224
Phone 480 917-5900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/31/2025
Certificate Expiration Date 5/30/2027
Facility Type Physician Office
Lab Director ZIAD M. ELGHOUL, MD

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