03D2190513 CLIA NUMBER - GLOW MIDWIFERY PLLC

Laboratory Demographics

  • CLIA Code: 03D2190513
  • Facility Name: GLOW MIDWIFERY PLLC
  • Facility Address: 3530 S VAL VISTA DR #A111
    GILBERT, AZ
    ZIP 85297
  • Facility Phone: 480 818-9530
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MALLORIE E. RESENDEZ BASSETTI
  • NPI Number: 1770193179
  • Taxonomy: 367A00000X - Advanced Practice Midwife

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 03D2190513
LAB Type Physician Office
Facility Name GLOW MIDWIFERY PLLC
Street 3530 S VAL VISTA DR #A111
City GILBERT
State AZ
ZIP 85297
Phone 480 818-9530
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/14/2024
Certificate Expiration Date 8/13/2026
Facility Type Physician Office
Lab Director MALLORIE E. RESENDEZ BASSETTI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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