03D1106534 CLIA NUMBER - ADVANCED HEALTH CARE OF GLENDALE

Laboratory Demographics

  • CLIA Code: 03D1106534
  • Facility Name: ADVANCED HEALTH CARE OF GLENDALE
  • Facility Address: 16825 N 63RD AVE
    GLENDALE, AZ
    ZIP 85306
  • Facility Phone: 480 732-3400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NANCI W. KAHN
  • NPI Number: 1295839512
  • Taxonomy: 261QP1100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D1106534
LAB Type Physician Office
Facility Name ADVANCED HEALTH CARE OF GLENDALE
Street 16825 N 63RD AVE
City GLENDALE
State AZ
ZIP 85306
Phone 480 732-3400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/16/2025
Certificate Expiration Date 10/15/2027
Facility Type Physician Office
Lab Director NANCI W. KAHN

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