03D2100668 CLIA NUMBER - CHAN HEART RHYTHM INSTITUTE

Laboratory Demographics

  • CLIA Code: 03D2100668
  • Facility Name: CHAN HEART RHYTHM INSTITUTE
  • Facility Address: 6709 E SOUTHERN AVE
    MESA, AZ
    ZIP 85206
  • Facility Phone: 480 773-2220
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RODRIGO C. CHAN
  • NPI Number: 1174949754
  • Taxonomy: 207RC0001X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D2100668
LAB Type Physician Office
Facility Name CHAN HEART RHYTHM INSTITUTE
Street 6709 E SOUTHERN AVE
City MESA
State AZ
ZIP 85206
Phone 480 773-2220
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/19/2023
Certificate Expiration Date 8/18/2025
Facility Type Physician Office
Lab Director RODRIGO C. CHAN

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This page was last updated on: 3/20/2025