03D2072461 CLIA NUMBER - AKDHC - DEER VALLEY

Laboratory Demographics

  • CLIA Code: 03D2072461
  • Facility Name: AKDHC - DEER VALLEY
  • Facility Address: 21410 N 19TH AVE STE 131
    PHOENIX, AZ
    ZIP 85027
  • Facility Phone: 623 780-1371
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUNGCHUN LEE
  • NPI Number: 1265874549
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D2072461
LAB Type Physician Office
Facility Name AKDHC - DEER VALLEY
Street 21410 N 19TH AVE STE 131
City PHOENIX
State AZ
ZIP 85027
Phone 623 780-1371
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/30/2024
Certificate Expiration Date 1/29/2026
Facility Type Physician Office
Lab Director SUNGCHUN LEE

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