03D2109047 CLIA NUMBER - COMMUNITY MEDICAL SERVICES

Laboratory Demographics

  • CLIA Code: 03D2109047
  • Facility Name: COMMUNITY MEDICAL SERVICES
  • Facility Address: 2301 W NORTHERN AVE
    PHOENIX, AZ
    ZIP 85021
  • Facility Phone: 602 866-9378
  • Facility Type: Other - OUTPATIENT TREATMENT PGM
  • Facility Type: Waiver
  • Lab Director: JUSTIN ABEYTA
  • NPI Number: 1497818595
  • Taxonomy: 261QM2800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2109047
LAB Type Other - OUTPATIENT TREATMENT PGM
Facility Name COMMUNITY MEDICAL SERVICES
Street 2301 W NORTHERN AVE
City PHOENIX
State AZ
ZIP 85021
Phone 602 866-9378
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/18/2024
Certificate Expiration Date 2/17/2026
Facility Type Other - OUTPATIENT TREATMENT PGM
Lab Director JUSTIN ABEYTA

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