03D2143182 CLIA NUMBER - DR RICHARDS PLLC

Laboratory Demographics

  • CLIA Code: 03D2143182
  • Facility Name: DR RICHARDS PLLC
  • Facility Address: 20815 N 25TH PLACE, SUITE A106
    PHOENIX, AZ
    ZIP 85050
  • Facility Phone: 602 283-9898
  • Facility Type: Other - HOUSE CALL PRACTICE-MOBIL
  • Facility Type: Waiver
  • Lab Director: ROSELAVENDER A. RICHARDS
  • NPI Number: 1720590011
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D2143182
LAB Type Other - HOUSE CALL PRACTICE-MOBIL
Facility Name DR RICHARDS PLLC
Street 20815 N 25TH PLACE, SUITE A106
City PHOENIX
State AZ
ZIP 85050
Phone 602 283-9898
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/25/2024
Certificate Expiration Date 1/24/2026
Facility Type Other - HOUSE CALL PRACTICE-MOBIL
Lab Director ROSELAVENDER A. RICHARDS

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