03D2154475 CLIA NUMBER - GB FAMILY CARE

Laboratory Demographics

  • CLIA Code: 03D2154475
  • Facility Name: GB FAMILY CARE
  • Facility Address: 9150 W INDIAN SCHOOL RD BLDG 5 STE 118
    PHOENIX, AZ
    ZIP 85037
  • Facility Phone: 623 547-5235
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BROCK A. MERRITT
  • NPI Number: 1699025981
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D2154475
LAB Type Physician Office
Facility Name GB FAMILY CARE
Street 9150 W INDIAN SCHOOL RD BLDG 5 STE 118
City PHOENIX
State AZ
ZIP 85037
Phone 623 547-5235
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/13/2024
Certificate Expiration Date 9/12/2026
Facility Type Physician Office
Lab Director BROCK A. MERRITT

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