03D2125483 CLIA NUMBER - PVAHCS - MIDTOWN VA HEALTH CARE CLINIC

Laboratory Demographics

  • CLIA Code: 03D2125483
  • Facility Name: PVAHCS - MIDTOWN VA HEALTH CARE CLINIC
  • Facility Address: 5040 N 15TH AVENUE
    PHOENIX, AZ
    ZIP 85015
  • Facility Phone: 602 234-7080
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: PATHI F. RENUKA

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CLIA Record

Field Name Field Value
CLIA Number 03D2125483
LAB Type Community Clinic
Facility Name PVAHCS - MIDTOWN VA HEALTH CARE CLINIC
Street 5040 N 15TH AVENUE
City PHOENIX
State AZ
ZIP 85015
Phone 602 234-7080
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 2/8/2017
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director PATHI F. RENUKA

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