03D2128514 CLIA NUMBER - INTEGRATED HEALTHCARE MOBILE SOLUTIONS

Laboratory Demographics

  • CLIA Code: 03D2128514
  • Facility Name: INTEGRATED HEALTHCARE MOBILE SOLUTIONS
  • Facility Address: 3800 W RAY RD STE 5
    CHANDLER, AZ
    ZIP 85226
  • Facility Phone: 480 718-5400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BROOKE W. EISENHART
  • NPI Number: 1255749982
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 03D2128514
LAB Type Physician Office
Facility Name INTEGRATED HEALTHCARE MOBILE SOLUTIONS
Street 3800 W RAY RD STE 5
City CHANDLER
State AZ
ZIP 85226
Phone 480 718-5400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/31/2023
Certificate Expiration Date 3/30/2025
Facility Type Physician Office
Lab Director BROOKE W. EISENHART

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