03D2180956 CLIA NUMBER - GENERATIONAL WELLNESS PLLC

Laboratory Demographics

  • CLIA Code: 03D2180956
  • Facility Name: GENERATIONAL WELLNESS PLLC
  • Facility Address: 10559 N 99TH AVE STE 1
    PEORIA, AZ
    ZIP 85345
  • Facility Phone: 623 295-2323
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: ROSA E. NORRIS
  • NPI Number: 1952937286
  • Taxonomy: 363LP0808X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 03D2180956
LAB Type Practitioner Other
Facility Name GENERATIONAL WELLNESS PLLC
Street 10559 N 99TH AVE STE 1
City PEORIA
State AZ
ZIP 85345
Phone 623 295-2323
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/24/2024
Certificate Expiration Date 3/23/2026
Facility Type Practitioner Other
Lab Director ROSA E. NORRIS

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