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03D2112736 CLIA NUMBER - PREMIER DRAW SERVICES LLC

Laboratory Demographics

CLIA Number: 03D2112736

Facility Name: PREMIER DRAW SERVICES LLC

Facility Address:
508 E MINERAL RD
PHOENIX, AZ
ZIP 85042
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Facility Phone Number: 602 318-5854

Facility Type: Other - PHLEBOTOMY SERVICES

Certificate Type: Waiver
NPI Number: 1104226224

Taxonomy: 291U00000X - Clinical Medical Laboratory
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

CLIA Record

Field Name Field Value
CLIA Number 03D2112736
LAB Type Other - PHLEBOTOMY SERVICES
Facility Name PREMIER DRAW SERVICES LLC
Street 508 E MINERAL RD
City PHOENIX
State AZ
ZIP 85042
Phone 602 318-5854
CertificateType 4
CertificateEffectiveDate 1/10/2024
CertificateExpirationDate 1/9/2026
FacilityType Waiver

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This page was last updated on: 4/23/2024