03D2149315 CLIA NUMBER - DENOVA COLLABORATIVE HEALTH - AVONDALE ELEMENTARY SCHOOL DISTRICT

Laboratory Demographics

  • CLIA Code: 03D2149315
  • Facility Name: DENOVA COLLABORATIVE HEALTH - AVONDALE ELEMENTARY SCHOOL DISTRICT
  • Facility Address: 506 E WESTERN AVE STE 104
    AVONDALE, AZ
    ZIP 85323
  • Facility Phone: 602 230-7373
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: ARTHUR L. PELBERG
  • NPI Number: 1689153769
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2149315
LAB Type Community Clinic
Facility Name DENOVA COLLABORATIVE HEALTH - AVONDALE ELEMENTARY SCHOOL DISTRICT
Street 506 E WESTERN AVE STE 104
City AVONDALE
State AZ
ZIP 85323
Phone 602 230-7373
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/31/2024
Certificate Expiration Date 5/30/2026
Facility Type Community Clinic
Lab Director ARTHUR L. PELBERG

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