03D2153587 CLIA NUMBER - ANDERSON SPRING MEDICAL GROUP LLC

Laboratory Demographics

  • CLIA Code: 03D2153587
  • Facility Name: ANDERSON SPRING MEDICAL GROUP LLC
  • Facility Address: 1949 W RAY RD, SUITE 23
    CHANDLER, AZ
    ZIP 85224
  • Facility Phone: 480 926-7800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARTHA REYES
  • NPI Number: 1497228548
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 03D2153587
LAB Type Physician Office
Facility Name ANDERSON SPRING MEDICAL GROUP LLC
Street 1949 W RAY RD, SUITE 23
City CHANDLER
State AZ
ZIP 85224
Phone 480 926-7800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/28/2024
Certificate Expiration Date 8/27/2026
Facility Type Physician Office
Lab Director MARTHA REYES

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