03D2177886 CLIA NUMBER - HOPE DIABETES CTR DBA CLINICA ESPERANZA HOPE PRIMARY CARE, LLC

Laboratory Demographics

  • CLIA Code: 03D2177886
  • Facility Name: HOPE DIABETES CTR DBA CLINICA ESPERANZA HOPE PRIMARY CARE, LLC
  • Facility Address: 1134 E UNIVERSITY DR STE 111
    MESA, AZ
    ZIP 85203
  • Facility Phone: 480 497-5933
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAKESH GADDAM
  • NPI Number: 1104865757
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D2177886
LAB Type Physician Office
Facility Name HOPE DIABETES CTR DBA CLINICA ESPERANZA HOPE PRIMARY CARE, LLC
Street 1134 E UNIVERSITY DR STE 111
City MESA
State AZ
ZIP 85203
Phone 480 497-5933
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/21/2024
Certificate Expiration Date 1/20/2026
Facility Type Physician Office
Lab Director RAKESH GADDAM

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