03D2001612 CLIA NUMBER - HOLLAND CENTER FOR FAMILY HEALTH

Laboratory Demographics

  • CLIA Code: 03D2001612
  • Facility Name: HOLLAND CENTER FOR FAMILY HEALTH
  • Facility Address: 5145 W THUNDERBIRD RD
    GLENDALE, AZ
    ZIP 85306
  • Facility Phone: 602 978-8477
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSHUA D. HOLLAND
  • NPI Number: 1174795785
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D2001612
LAB Type Physician Office
Facility Name HOLLAND CENTER FOR FAMILY HEALTH
Street 5145 W THUNDERBIRD RD
City GLENDALE
State AZ
ZIP 85306
Phone 602 978-8477
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Physician Office
Lab Director JOSHUA D. HOLLAND

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