03D2074731 CLIA NUMBER - ARIZONA PHARMACY ALLIANCE

Laboratory Demographics

  • CLIA Code: 03D2074731
  • Facility Name: ARIZONA PHARMACY ALLIANCE
  • Facility Address: 1845 E SOUTHERN AVE
    TEMPE, AZ
    ZIP 85282
  • Facility Phone: 480 838-3385
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: KELLY L. RIDGWAY
  • NPI Number: 1366961096
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 03D2074731
LAB Type Mobile Laboratory
Facility Name ARIZONA PHARMACY ALLIANCE
Street 1845 E SOUTHERN AVE
City TEMPE
State AZ
ZIP 85282
Phone 480 838-3385
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/14/2024
Certificate Expiration Date 3/13/2026
Facility Type Mobile Laboratory
Lab Director KELLY L. RIDGWAY

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