03D2113589 CLIA NUMBER - ARTHRITIS CONSULTANTS PC

Laboratory Demographics

  • CLIA Code: 03D2113589
  • Facility Name: ARTHRITIS CONSULTANTS PC
  • Facility Address: 12665 W SMOKEY DR STE 140
    SURPRISE, AZ
    ZIP 85378
  • Facility Phone: 623 219-4040
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VIJAYABHANU MAHADEVAN
  • NPI Number: 1780047985
  • Taxonomy: 207RR0500X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D2113589
LAB Type Physician Office
Facility Name ARTHRITIS CONSULTANTS PC
Street 12665 W SMOKEY DR STE 140
City SURPRISE
State AZ
ZIP 85378
Phone 623 219-4040
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/25/2024
Certificate Expiration Date 5/24/2026
Facility Type Physician Office
Lab Director VIJAYABHANU MAHADEVAN

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This page was last updated on: 9/29/2025