03D2051668 CLIA NUMBER - STRIPES PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 03D2051668
  • Facility Name: STRIPES PRIMARY CARE
  • Facility Address: 2919 S ELLSWORTH RD, STE 139
    MESA, AZ
    ZIP 85212
  • Facility Phone: 480 984-5225
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHIKWENDU C. NWOSU
  • NPI Number: 1508155979
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D2051668
LAB Type Physician Office
Facility Name STRIPES PRIMARY CARE
Street 2919 S ELLSWORTH RD, STE 139
City MESA
State AZ
ZIP 85212
Phone 480 984-5225
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/24/2024
Certificate Expiration Date 12/23/2026
Facility Type Physician Office
Lab Director CHIKWENDU C. NWOSU

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