03D2162021 CLIA NUMBER - SURPRISE CARE, PLLC

Laboratory Demographics

  • CLIA Code: 03D2162021
  • Facility Name: SURPRISE CARE, PLLC
  • Facility Address: 12133 W BELL RD STE 101
    SURPRISE, AZ
    ZIP 85378
  • Facility Phone: 623 244-8797
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: KALIN G. HARDING
  • NPI Number: 1528720844
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 03D2162021
LAB Type Practitioner Other
Facility Name SURPRISE CARE, PLLC
Street 12133 W BELL RD STE 101
City SURPRISE
State AZ
ZIP 85378
Phone 623 244-8797
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/11/2025
Certificate Expiration Date 9/10/2027
Facility Type Practitioner Other
Lab Director KALIN G. HARDING

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