03D2023617 CLIA NUMBER - CENTRAL MESA MEDICAL

Laboratory Demographics

  • CLIA Code: 03D2023617
  • Facility Name: CENTRAL MESA MEDICAL
  • Facility Address: 204 N CENTER ST
    MESA, AZ
    ZIP 85201
  • Facility Phone: 480 962-0868
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LEANNE J. KOLESKI
  • NPI Number: 1669509568
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 03D2023617
LAB Type Physician Office
Facility Name CENTRAL MESA MEDICAL
Street 204 N CENTER ST
City MESA
State AZ
ZIP 85201
Phone 480 962-0868
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/27/2025
Certificate Expiration Date 4/26/2027
Facility Type Physician Office
Lab Director LEANNE J. KOLESKI

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