03D2147170 CLIA NUMBER - STAR CLINIC LLC

Laboratory Demographics

  • CLIA Code: 03D2147170
  • Facility Name: STAR CLINIC LLC
  • Facility Address: 14155 N 83RD AVE BLDG 6 STE 138
    PEORIA, AZ
    ZIP 85381
  • Facility Phone: 623 271-8666
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALI AZADI
  • NPI Number: 1932608106
  • Taxonomy: 207VF0040X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 03D2147170
LAB Type Physician Office
Facility Name STAR CLINIC LLC
Street 14155 N 83RD AVE BLDG 6 STE 138
City PEORIA
State AZ
ZIP 85381
Phone 623 271-8666
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 Physician Office
Lab Director ALI AZADI

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