03D2090964 CLIA NUMBER - FELIZ CARE CENTERS

Laboratory Demographics

  • CLIA Code: 03D2090964
  • Facility Name: FELIZ CARE CENTERS
  • Facility Address: 5104 N 67TH AVE
    GLENDALE, AZ
    ZIP 85303
  • Facility Phone: 480 659-9696
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JOSE CARRAZCO
  • NPI Number: 1427420504
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D2090964
LAB Type Physician Office
Facility Name FELIZ CARE CENTERS
Street 5104 N 67TH AVE
City GLENDALE
State AZ
ZIP 85303
Phone 480 659-9696
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/23/2024
Certificate Expiration Date 3/22/2026
Facility Type Physician Office
Lab Director JOSE CARRAZCO

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