03D2106167 CLIA NUMBER - CLEAR CHOICE PHYSICIANS, LLC

Laboratory Demographics

  • CLIA Code: 03D2106167
  • Facility Name: CLEAR CHOICE PHYSICIANS, LLC
  • Facility Address: 6328 E BROWN RD, STE 106
    MESA, AZ
    ZIP 85205
  • Facility Phone: 480 654-3303
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KUY VOLLAND
  • NPI Number: 1780957985
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 03D2106167
LAB Type Physician Office
Facility Name CLEAR CHOICE PHYSICIANS, LLC
Street 6328 E BROWN RD, STE 106
City MESA
State AZ
ZIP 85205
Phone 480 654-3303
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/11/2023
Certificate Expiration Date 12/10/2025
Facility Type Physician Office
Lab Director KUY VOLLAND

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