03D2100949 CLIA NUMBER - WESLEY HEALTH CENTER AT GOLDEN GATE

Laboratory Demographics

  • CLIA Code: 03D2100949
  • Facility Name: WESLEY HEALTH CENTER AT GOLDEN GATE
  • Facility Address: 1625 N 39TH AVE
    PHOENIX, AZ
    ZIP 85009
  • Facility Phone: 602 368-6760
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: WENDY A. REDFORD

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CLIA Record

Field Name Field Value
CLIA Number 03D2100949
LAB Type Federally Qualified Health Center
Facility Name WESLEY HEALTH CENTER AT GOLDEN GATE
Street 1625 N 39TH AVE
City PHOENIX
State AZ
ZIP 85009
Phone 602 368-6760
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/25/2023
Certificate Expiration Date 8/24/2025
Facility Type Federally Qualified Health Center
Lab Director WENDY A. REDFORD

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This page was last updated on: 6/4/2025