03D1106263 CLIA NUMBER - VITALANT HLA LABORATORY

Laboratory Demographics

  • CLIA Code: 03D1106263
  • Facility Name: VITALANT HLA LABORATORY
  • Facility Address: 124 W THOMAS RD, STE 210
    PHOENIX, AZ
    ZIP 85013
  • Facility Phone: 623 487-6400
  • Facility Type: Blood Bank
  • Facility Type: Accreditation
  • Lab Director: BRIAN FRANZ
  • NPI Number: 1588711592
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 03D1106263
LAB Type Blood Bank
Facility Name VITALANT HLA LABORATORY
Street 124 W THOMAS RD, STE 210
City PHOENIX
State AZ
ZIP 85013
Phone 623 487-6400
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 12/31/2023
Certificate Expiration Date 12/30/2025
Facility Type Blood Bank
Lab Director BRIAN FRANZ

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