03D2147082 CLIA NUMBER - GERALD B CHAMBERLIN, MD MPH PC

Laboratory Demographics

  • CLIA Code: 03D2147082
  • Facility Name: GERALD B CHAMBERLIN, MD MPH PC
  • Facility Address: 6242 E ARBOR AVE, STE 123
    MESA, AZ
    ZIP 85206
  • Facility Phone: 480 467-9542
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GERALD B. CHAMBERLIN
  • NPI Number: 1932149903
  • Taxonomy: 101YP2500X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 03D2147082
LAB Type Physician Office
Facility Name GERALD B CHAMBERLIN, MD MPH PC
Street 6242 E ARBOR AVE, STE 123
City MESA
State AZ
ZIP 85206
Phone 480 467-9542
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/12/2024
Certificate Expiration Date 4/11/2026
Facility Type Physician Office
Lab Director GERALD B. CHAMBERLIN

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