03D2169271 CLIA NUMBER - SHEA PAIN SOLUTIONS LLC

Laboratory Demographics

  • CLIA Code: 03D2169271
  • Facility Name: SHEA PAIN SOLUTIONS LLC
  • Facility Address: 1450 W GUADALUPE RD STE 124
    GILBERT, AZ
    ZIP 85233
  • Facility Phone: 480 307-8258
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ARMEN DERIAN
  • NPI Number: 1144870569
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2169271
LAB Type Ambulatory Surgery Center
Facility Name SHEA PAIN SOLUTIONS LLC
Street 1450 W GUADALUPE RD STE 124
City GILBERT
State AZ
ZIP 85233
Phone 480 307-8258
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/17/2025
Certificate Expiration Date 7/16/2027
Facility Type Ambulatory Surgery Center
Lab Director ARMEN DERIAN

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