03D1075811 CLIA NUMBER - PVAHCS - CARL T HAYDEN BLOOD GAS LABORATORY

Laboratory Demographics

  • CLIA Code: 03D1075811
  • Facility Name: PVAHCS - CARL T HAYDEN BLOOD GAS LABORATORY
  • Facility Address: 650 E INDIAN SCHOOL RD 6THFL RMD-640
    PHOENIX, AZ
    ZIP 85012
  • Facility Phone: 602 277-5551
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: JASMINDER W. MAND
  • NPI Number: 1487993986
  • Taxonomy: 286500000X - Military Hospital

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CLIA Record

Field Name Field Value
CLIA Number 03D1075811
LAB Type Hospital
Facility Name PVAHCS - CARL T HAYDEN BLOOD GAS LABORATORY
Street 650 E INDIAN SCHOOL RD 6THFL RMD-640
City PHOENIX
State AZ
ZIP 85012
Phone 602 277-5551
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 10/29/2007
Certificate Expiration Date 5/22/2026
Facility Type Hospital
Lab Director JASMINDER W. MAND

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