03D1084337 CLIA NUMBER - ADVANCED CARE INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 03D1084337
  • Facility Name: ADVANCED CARE INTERNAL MEDICINE
  • Facility Address: 485 S DOBSON RD STE 106
    CHANDLER, AZ
    ZIP 85224
  • Facility Phone: 480 629-5113
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JIANWEN WU, MD
  • NPI Number: 1578744413
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D1084337
LAB Type Physician Office
Facility Name ADVANCED CARE INTERNAL MEDICINE
Street 485 S DOBSON RD STE 106
City CHANDLER
State AZ
ZIP 85224
Phone 480 629-5113
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/20/2024
Certificate Expiration Date 5/19/2026
Facility Type Physician Office
Lab Director JIANWEN WU, MD

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