03D1069287 CLIA NUMBER - CEDARS HEART CLINIC, LLC

Laboratory Demographics

  • CLIA Code: 03D1069287
  • Facility Name: CEDARS HEART CLINIC, LLC
  • Facility Address: 1968 N PEART RD BLDG B STE 4
    CASA GRANDE, AZ
    ZIP 85122
  • Facility Phone: 520 836-6661
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ZIAD ELGHOUL, MD
  • NPI Number: 1689878241
  • Taxonomy: 207RI0011X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D1069287
LAB Type Physician Office
Facility Name CEDARS HEART CLINIC, LLC
Street 1968 N PEART RD BLDG B STE 4
City CASA GRANDE
State AZ
ZIP 85122
Phone 520 836-6661
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 ELGHOUL, MD

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