03D2188616 CLIA NUMBER - REGENCY SPECIALTIES

Laboratory Demographics

  • CLIA Code: 03D2188616
  • Facility Name: REGENCY SPECIALTIES
  • Facility Address: 14725 W MOUNTAIN VIEW BLVD, SUITE 100
    SURPRISE, AZ
    ZIP 85374
  • Facility Phone: 623 243-9077
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: BETTY HINDERKS-DAVIS
  • NPI Number: 1548844343
  • Taxonomy: 261QM2500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2188616
LAB Type Physician Office
Facility Name REGENCY SPECIALTIES
Street 14725 W MOUNTAIN VIEW BLVD, SUITE 100
City SURPRISE
State AZ
ZIP 85374
Phone 623 243-9077
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 11/30/2024
Certificate Expiration Date 11/29/2026
Facility Type Physician Office
Lab Director BETTY HINDERKS-DAVIS

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