03D2151797 CLIA NUMBER - AZ MOBILE PHLEBOTOMY LLC

Laboratory Demographics

  • CLIA Code: 03D2151797
  • Facility Name: AZ MOBILE PHLEBOTOMY LLC
  • Facility Address: 15240 N BAHIA BLVD
    FOUNTAIN HILLS, AZ
    ZIP 85268
  • Facility Phone: 480 426-2629
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: CRYSTAL L. PELLEGRINO
  • NPI Number: 1538686860
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 03D2151797
LAB Type Mobile Laboratory
Facility Name AZ MOBILE PHLEBOTOMY LLC
Street 15240 N BAHIA BLVD
City FOUNTAIN HILLS
State AZ
ZIP 85268
Phone 480 426-2629
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/27/2024
Certificate Expiration Date 7/26/2026
Facility Type Mobile Laboratory
Lab Director CRYSTAL L. PELLEGRINO

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