03D2152235 CLIA NUMBER - CLINICA LA FAMILIA, PC

Laboratory Demographics

  • CLIA Code: 03D2152235
  • Facility Name: CLINICA LA FAMILIA, PC
  • Facility Address: 1315 W SOUTHERN AVE
    TEMPE, AZ
    ZIP 85282
  • Facility Phone: 602 715-2840
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: RICARDO G. CELAYA
  • NPI Number: 1508139700
  • Taxonomy: 261QR1100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2152235
LAB Type Ancillary Testing Site in Health Care Center
Facility Name CLINICA LA FAMILIA, PC
Street 1315 W SOUTHERN AVE
City TEMPE
State AZ
ZIP 85282
Phone 602 715-2840
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/6/2024
Certificate Expiration Date 8/5/2026
Facility Type Ancillary Testing Site in Health Care Center
Lab Director RICARDO G. CELAYA

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