03D1090209 CLIA NUMBER - AN OASIS OF HEALING

Laboratory Demographics

  • CLIA Code: 03D1090209
  • Facility Name: AN OASIS OF HEALING
  • Facility Address: 210 N CENTER ST STE 102
    MESA, AZ
    ZIP 85201
  • Facility Phone: 480 834-5414
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: THOMAS L. LODI, MDH
  • NPI Number: 1326221029
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D1090209
LAB Type Physician Office
Facility Name AN OASIS OF HEALING
Street 210 N CENTER ST STE 102
City MESA
State AZ
ZIP 85201
Phone 480 834-5414
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/21/2024
Certificate Expiration Date 2/20/2026
Facility Type Physician Office
Lab Director THOMAS L. LODI, MDH

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This page was last updated on: 6/4/2025