03D2083948 CLIA NUMBER - AKDHC - BANNER DESERT

Laboratory Demographics

  • CLIA Code: 03D2083948
  • Facility Name: AKDHC - BANNER DESERT
  • Facility Address: 1520 S DOBSON RD, STE 304
    MESA, AZ
    ZIP 85202
  • Facility Phone: 480 899-0767
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: JOSEPH ZHAO
  • NPI Number: 1619301330
  • Taxonomy: 207RN0300X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 03D2083948
LAB Type Ancillary Testing Site in Health Care Center
Facility Name AKDHC - BANNER DESERT
Street 1520 S DOBSON RD, STE 304
City MESA
State AZ
ZIP 85202
Phone 480 899-0767
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/1/2024
Certificate Expiration Date 7/31/2026
Facility Type Ancillary Testing Site in Health Care Center
Lab Director JOSEPH ZHAO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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