03D1074452 CLIA NUMBER - DESERT VALLEY GASTROENTEROLOGY

Laboratory Demographics

  • CLIA Code: 03D1074452
  • Facility Name: DESERT VALLEY GASTROENTEROLOGY
  • Facility Address: 4540 E BASELINE RD, STE #115
    MESA, AZ
    ZIP 85206
  • Facility Phone: 480 306-6405
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEVEN C. KAISER, MD
  • NPI Number: 1477797710
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D1074452
LAB Type Physician Office
Facility Name DESERT VALLEY GASTROENTEROLOGY
Street 4540 E BASELINE RD, STE #115
City MESA
State AZ
ZIP 85206
Phone 480 306-6405
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/27/2025
Certificate Expiration Date 9/26/2027
Facility Type Physician Office
Lab Director STEVEN C. KAISER, MD

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