03D1074740 CLIA NUMBER - PREMIER CARE FOR WOMEN

Laboratory Demographics

  • CLIA Code: 03D1074740
  • Facility Name: PREMIER CARE FOR WOMEN
  • Facility Address: 14239 W BELL RD, #210
    SURPRISE, AZ
    ZIP 85374
  • Facility Phone: 623 584-0800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GARY J. NEWMAN
  • NPI Number: 1932425253
  • Taxonomy: 207VX0000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 03D1074740
LAB Type Physician Office
Facility Name PREMIER CARE FOR WOMEN
Street 14239 W BELL RD, #210
City SURPRISE
State AZ
ZIP 85374
Phone 623 584-0800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/26/2025
Certificate Expiration Date 4/25/2027
Facility Type Physician Office
Lab Director GARY J. NEWMAN

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