03D2147130 CLIA NUMBER - COMMUNITY MEDICAL SERVICES - GLENDALE

Laboratory Demographics

  • CLIA Code: 03D2147130
  • Facility Name: COMMUNITY MEDICAL SERVICES - GLENDALE
  • Facility Address: 5002 W GLENDALE AVE, STE 101
    GLENDALE, AZ
    ZIP 85301
  • Facility Phone: 623 233-1099
  • Facility Type: Other - OUTPATIENT TREATMENT PRGM
  • Facility Type: Waiver
  • Lab Director: JUSTIN ABEYTA
  • NPI Number: 1093246340
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 03D2147130
LAB Type Other - OUTPATIENT TREATMENT PRGM
Facility Name COMMUNITY MEDICAL SERVICES - GLENDALE
Street 5002 W GLENDALE AVE, STE 101
City GLENDALE
State AZ
ZIP 85301
Phone 623 233-1099
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/13/2024
Certificate Expiration Date 4/12/2026
Facility Type Other - OUTPATIENT TREATMENT PRGM
Lab Director JUSTIN ABEYTA

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