03D2102587 CLIA NUMBER - PAM HEALTH REHABILITATION HOSPITAL OF SURPRISE

Laboratory Demographics

  • CLIA Code: 03D2102587
  • Facility Name: PAM HEALTH REHABILITATION HOSPITAL OF SURPRISE
  • Facility Address: 13060 W BELL RD
    SURPRISE, AZ
    ZIP 85378
  • Facility Phone: 623 499-9100
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: KIMBERLY GHERING
  • NPI Number: 1679954002
  • Taxonomy: 283X00000X - Rehabilitation Hospital

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CLIA Record

Field Name Field Value
CLIA Number 03D2102587
LAB Type Hospital
Facility Name PAM HEALTH REHABILITATION HOSPITAL OF SURPRISE
Street 13060 W BELL RD
City SURPRISE
State AZ
ZIP 85378
Phone 623 499-9100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/25/2023
Certificate Expiration Date 9/24/2025
Facility Type Hospital
Lab Director KIMBERLY GHERING

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