03D2121103 CLIA NUMBER - HEALTHY WINGS FAMILY & PSYCHIATRIC HEALTHCARE

Laboratory Demographics

  • CLIA Code: 03D2121103
  • Facility Name: HEALTHY WINGS FAMILY & PSYCHIATRIC HEALTHCARE
  • Facility Address: 2055 E SOUTHERN AVE STE B
    TEMPE, AZ
    ZIP 85282
  • Facility Phone: 520 477-1815
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JENNIFER A. MUHAMMAD
  • NPI Number: 1376905786
  • Taxonomy: 261QP2300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 03D2121103
LAB Type Physician Office
Facility Name HEALTHY WINGS FAMILY & PSYCHIATRIC HEALTHCARE
Street 2055 E SOUTHERN AVE STE B
City TEMPE
State AZ
ZIP 85282
Phone 520 477-1815
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/31/2024
Certificate Expiration Date 10/30/2026
Facility Type Physician Office
Lab Director JENNIFER A. MUHAMMAD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 6/4/2025