03D2064647 CLIA NUMBER - AKDHC - CHANDLER

Laboratory Demographics

  • CLIA Code: 03D2064647
  • Facility Name: AKDHC - CHANDLER
  • Facility Address: 655 S DOBSON RD, BLDG B, STE 214
    CHANDLER, AZ
    ZIP 85224
  • Facility Phone: 480 857-2381
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALMUTAZ B. KARTOUMAH
  • NPI Number: 1841720588
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D2064647
LAB Type Physician Office
Facility Name AKDHC - CHANDLER
Street 655 S DOBSON RD, BLDG B, STE 214
City CHANDLER
State AZ
ZIP 85224
Phone 480 857-2381
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/23/2025
Certificate Expiration Date 8/22/2027
Facility Type Physician Office
Lab Director ALMUTAZ B. KARTOUMAH

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