03D2096290 CLIA NUMBER - ASSOCIATED RETINA CONSULTANTS

Laboratory Demographics

  • CLIA Code: 03D2096290
  • Facility Name: ASSOCIATED RETINA CONSULTANTS
  • Facility Address: 15353 N 91ST AVE
    PEORIA, AZ
    ZIP 85381
  • Facility Phone: 602 242-4928
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: ALAN J. GORDON
  • NPI Number: 1538340997
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 03D2096290
LAB Type Practitioner Other
Facility Name ASSOCIATED RETINA CONSULTANTS
Street 15353 N 91ST AVE
City PEORIA
State AZ
ZIP 85381
Phone 602 242-4928
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/20/2025
Certificate Expiration Date 5/19/2027
Facility Type Practitioner Other
Lab Director ALAN J. GORDON

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