03D2162450 CLIA NUMBER - BENDEL CLINIC

Laboratory Demographics

  • CLIA Code: 03D2162450
  • Facility Name: BENDEL CLINIC
  • Facility Address: 6642 E BASELINE RD SUITE 103
    MESA, AZ
    ZIP 85206
  • Facility Phone: 480 218-7800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHUBA B. ONONYE
  • NPI Number: 1215072384
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D2162450
LAB Type Physician Office
Facility Name BENDEL CLINIC
Street 6642 E BASELINE RD SUITE 103
City MESA
State AZ
ZIP 85206
Phone 480 218-7800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/22/2025
Certificate Expiration Date 2/21/2027
Facility Type Physician Office
Lab Director CHUBA B. ONONYE

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