03D2109621 CLIA NUMBER - ZONA SPINE AND PAIN LLC

Laboratory Demographics

  • CLIA Code: 03D2109621
  • Facility Name: ZONA SPINE AND PAIN LLC
  • Facility Address: 750 N ESTRELLA PARKWAY, STE 60
    GOODYEAR, AZ
    ZIP 85338
  • Facility Phone: 623 321-5079
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHANDRASHEKAR KALMAT
  • NPI Number: 1477910263
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 03D2109621
LAB Type Physician Office
Facility Name ZONA SPINE AND PAIN LLC
Street 750 N ESTRELLA PARKWAY, STE 60
City GOODYEAR
State AZ
ZIP 85338
Phone 623 321-5079
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/29/2024
Certificate Expiration Date 2/27/2026
Facility Type Physician Office
Lab Director CHANDRASHEKAR KALMAT

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