03D2078475 CLIA NUMBER - ORANGE MEDICAL LLC

Laboratory Demographics

  • CLIA Code: 03D2078475
  • Facility Name: ORANGE MEDICAL LLC
  • Facility Address: 2626 E UNIVERSITY DR, STE 110
    MESA, AZ
    ZIP 85213
  • Facility Phone: 480 526-5300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHEBA J. SHAH
  • NPI Number: 1497178081
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D2078475
LAB Type Physician Office
Facility Name ORANGE MEDICAL LLC
Street 2626 E UNIVERSITY DR, STE 110
City MESA
State AZ
ZIP 85213
Phone 480 526-5300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/29/2024
Certificate Expiration Date 5/28/2026
Facility Type Physician Office
Lab Director SHEBA J. SHAH

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