03D2007663 CLIA NUMBER - MARY'S GROUP HOME LLC

Laboratory Demographics

  • CLIA Code: 03D2007663
  • Facility Name: MARY'S GROUP HOME LLC
  • Facility Address: 10008 W BLOCH RD
    TOLLESON, AZ
    ZIP 85353
  • Facility Phone: 602 621-2931
  • Facility Type: Other - ASSISTED LIVING HOME
  • Facility Type: Waiver
  • Lab Director: MAIRELIS ZALDIVAR
  • NPI Number: 1376320374
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 03D2007663
LAB Type Other - ASSISTED LIVING HOME
Facility Name MARY'S GROUP HOME LLC
Street 10008 W BLOCH RD
City TOLLESON
State AZ
ZIP 85353
Phone 602 621-2931
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/21/2024
Certificate Expiration Date 5/20/2026
Facility Type Other - ASSISTED LIVING HOME
Lab Director MAIRELIS ZALDIVAR

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