03D2134057 CLIA NUMBER - PRIMACARE, INC

Laboratory Demographics

  • CLIA Code: 03D2134057
  • Facility Name: PRIMACARE, INC
  • Facility Address: 2163 E BASELINE RD STE 101
    TEMPE, AZ
    ZIP 85283
  • Facility Phone: 480 646-8123
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ZAHEER SHAH
  • NPI Number: 1841354487
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D2134057
LAB Type Physician Office
Facility Name PRIMACARE, INC
Street 2163 E BASELINE RD STE 101
City TEMPE
State AZ
ZIP 85283
Phone 480 646-8123
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/25/2025
Certificate Expiration Date 7/24/2027
Facility Type Physician Office
Lab Director ZAHEER SHAH

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