03D2077107 CLIA NUMBER - MOUNTAIN VIEW MEDICAL

Laboratory Demographics

  • CLIA Code: 03D2077107
  • Facility Name: MOUNTAIN VIEW MEDICAL
  • Facility Address: 14420 W MEEKER BLVD BLDG A STE 200
    SUN CITY WEST, AZ
    ZIP 85375
  • Facility Phone: 623 388-3188
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DIPTI PATEL
  • NPI Number: 1346800646
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 03D2077107
LAB Type Physician Office
Facility Name MOUNTAIN VIEW MEDICAL
Street 14420 W MEEKER BLVD BLDG A STE 200
City SUN CITY WEST
State AZ
ZIP 85375
Phone 623 388-3188
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/30/2024
Certificate Expiration Date 4/29/2026
Facility Type Physician Office
Lab Director DIPTI PATEL

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