03D2059217 CLIA NUMBER - PREMISE HEALTH OF ARIZONA, MEDICAL PC

Laboratory Demographics

  • CLIA Code: 03D2059217
  • Facility Name: PREMISE HEALTH OF ARIZONA, MEDICAL PC
  • Facility Address: 2701 E INSIGHT WAY
    CHANDLER, AZ
    ZIP 85286
  • Facility Phone: 480 409-6100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CLIFFORD LYONS
  • NPI Number: 1952745218
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2059217
LAB Type Physician Office
Facility Name PREMISE HEALTH OF ARIZONA, MEDICAL PC
Street 2701 E INSIGHT WAY
City CHANDLER
State AZ
ZIP 85286
Phone 480 409-6100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/20/2025
Certificate Expiration Date 5/19/2027
Facility Type Physician Office
Lab Director CLIFFORD LYONS

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