03D2064656 CLIA NUMBER - AKDHC - MESA BAYWOOD

Laboratory Demographics

  • CLIA Code: 03D2064656
  • Facility Name: AKDHC - MESA BAYWOOD
  • Facility Address: 6553 E BAYWOOD AVE, STE 205
    MESA, AZ
    ZIP 85206
  • Facility Phone: 480 626-2020
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AMEESH K. GARG
  • NPI Number: 1316481906
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D2064656
LAB Type Physician Office
Facility Name AKDHC - MESA BAYWOOD
Street 6553 E BAYWOOD AVE, STE 205
City MESA
State AZ
ZIP 85206
Phone 480 626-2020
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 AMEESH K. GARG

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