03D2090034 CLIA NUMBER - ADVANCED DIAGNOSTIC LABS LLC

Laboratory Demographics

  • CLIA Code: 03D2090034
  • Facility Name: ADVANCED DIAGNOSTIC LABS LLC
  • Facility Address: 11030 N TATUM BLVD, BLDG F, STE 101B
    PHOENIX, AZ
    ZIP 85028
  • Facility Phone: 602 889-9880
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: SANJAY R. PATEL
  • NPI Number: 1730572074
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 03D2090034
LAB Type Physician Office
Facility Name ADVANCED DIAGNOSTIC LABS LLC
Street 11030 N TATUM BLVD, BLDG F, STE 101B
City PHOENIX
State AZ
ZIP 85028
Phone 602 889-9880
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 4/6/2024
Certificate Expiration Date 4/5/2026
Facility Type Physician Office
Lab Director SANJAY R. PATEL

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