03D2172591 CLIA NUMBER - ARIZONA STATE UROLOGY LLC

Laboratory Demographics

  • CLIA Code: 03D2172591
  • Facility Name: ARIZONA STATE UROLOGY LLC
  • Facility Address: 6525 W SACK DRIVE SUITE 201
    GLENDALE, AZ
    ZIP 85308
  • Facility Phone: 602 337-8500
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: GHASSAN TRANESH
  • NPI Number: 1508427667
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 03D2172591
LAB Type Physician Office
Facility Name ARIZONA STATE UROLOGY LLC
Street 6525 W SACK DRIVE SUITE 201
City GLENDALE
State AZ
ZIP 85308
Phone 602 337-8500
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 4/21/2024
Certificate Expiration Date 4/20/2026
Facility Type Physician Office
Lab Director GHASSAN TRANESH

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