03D2118325 CLIA NUMBER - VALLEY PERINATAL SERVICES - GLENDALE

Laboratory Demographics

  • CLIA Code: 03D2118325
  • Facility Name: VALLEY PERINATAL SERVICES - GLENDALE
  • Facility Address: 5605 W EUGIE AVE #111
    GLENDALE, AZ
    ZIP 85304
  • Facility Phone: 480 756-6000
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JOHN P. ELLIOT
  • NPI Number: 1174866743
  • Taxonomy: 207VM0101X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 03D2118325
LAB Type Physician Office
Facility Name VALLEY PERINATAL SERVICES - GLENDALE
Street 5605 W EUGIE AVE #111
City GLENDALE
State AZ
ZIP 85304
Phone 480 756-6000
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 8/18/2023
Certificate Expiration Date 8/17/2025
Facility Type Physician Office
Lab Director JOHN P. ELLIOT

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