03D1105129 CLIA NUMBER - TOTAL MEDICAL CARE

Laboratory Demographics

  • CLIA Code: 03D1105129
  • Facility Name: TOTAL MEDICAL CARE
  • Facility Address: 5048 W NORTHERN AVE, STE 106
    GLENDALE, AZ
    ZIP 85301
  • Facility Phone: 623 435-0190
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AHMAD Z. QASIMYAR, MD
  • NPI Number: 1639306731
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D1105129
LAB Type Physician Office
Facility Name TOTAL MEDICAL CARE
Street 5048 W NORTHERN AVE, STE 106
City GLENDALE
State AZ
ZIP 85301
Phone 623 435-0190
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/16/2025
Certificate Expiration Date 9/15/2027
Facility Type Physician Office
Lab Director AHMAD Z. QASIMYAR, MD

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