03D2068332 CLIA NUMBER - FIVE STAR MEDICAL CLINIC & WEIGHT LOSS CENTER

Laboratory Demographics

  • CLIA Code: 03D2068332
  • Facility Name: FIVE STAR MEDICAL CLINIC & WEIGHT LOSS CENTER
  • Facility Address: 2175 N ALMA SCHOOL RD STE A104
    CHANDLER, AZ
    ZIP 85224
  • Facility Phone: 480 275-4415
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MARIA M. GONZALEZ-LANDESTOY
  • NPI Number: 1093984171
  • Taxonomy: 305R00000X - Preferred Provider Organization

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CLIA Record

Field Name Field Value
CLIA Number 03D2068332
LAB Type Physician Office
Facility Name FIVE STAR MEDICAL CLINIC & WEIGHT LOSS CENTER
Street 2175 N ALMA SCHOOL RD STE A104
City CHANDLER
State AZ
ZIP 85224
Phone 480 275-4415
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 11/1/2023
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director MARIA M. GONZALEZ-LANDESTOY

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