03D2034153 CLIA NUMBER - SAN TAN CARDIOVASCULAR CENTER

Laboratory Demographics

  • CLIA Code: 03D2034153
  • Facility Name: SAN TAN CARDIOVASCULAR CENTER
  • Facility Address: 3980 E RIGGS RD, BLDG 4
    CHANDLER, AZ
    ZIP 85249
  • Facility Phone: 480 895-0784
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ZELALEM YILMA
  • NPI Number: 1639567514
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D2034153
LAB Type Physician Office
Facility Name SAN TAN CARDIOVASCULAR CENTER
Street 3980 E RIGGS RD, BLDG 4
City CHANDLER
State AZ
ZIP 85249
Phone 480 895-0784
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/19/2023
Certificate Expiration Date 12/18/2025
Facility Type Physician Office
Lab Director ZELALEM YILMA

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