03D1076778 CLIA NUMBER - WILLIAM A CHAVIRA, MD, PC

Laboratory Demographics

  • CLIA Code: 03D1076778
  • Facility Name: WILLIAM A CHAVIRA, MD, PC
  • Facility Address: 600 WEST THOMAS RD
    PHOENIX, AZ
    ZIP 85013
  • Facility Phone: 602 234-9611
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: WILLIAM A. CHAVIRA, MD
  • NPI Number: 1144326422
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 03D1076778
LAB Type Physician Office
Facility Name WILLIAM A CHAVIRA, MD, PC
Street 600 WEST THOMAS RD
City PHOENIX
State AZ
ZIP 85013
Phone 602 234-9611
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 7/2/2024
Certificate Expiration Date 7/1/2026
Facility Type Physician Office
Lab Director WILLIAM A. CHAVIRA, MD

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