03D2174332 CLIA NUMBER - ADOBE ENT & ALLERGY

Laboratory Demographics

  • CLIA Code: 03D2174332
  • Facility Name: ADOBE ENT & ALLERGY
  • Facility Address: 20325 N 51ST AVE SUITE 154
    GLENDALE, AZ
    ZIP 85308
  • Facility Phone: 623 900-4740
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL R. RODRIGUEZ
  • NPI Number: 1467914259
  • Taxonomy: 207YX0905X - Otolaryngology

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CLIA Record

Field Name Field Value
CLIA Number 03D2174332
LAB Type Physician Office
Facility Name ADOBE ENT & ALLERGY
Street 20325 N 51ST AVE SUITE 154
City GLENDALE
State AZ
ZIP 85308
Phone 623 900-4740
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/30/2023
Certificate Expiration Date 10/29/2025
Facility Type Physician Office
Lab Director MICHAEL R. RODRIGUEZ

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