03D2194129 CLIA NUMBER - CLARENDALE OF CHANDLER

Laboratory Demographics

  • CLIA Code: 03D2194129
  • Facility Name: CLARENDALE OF CHANDLER
  • Facility Address: 5900 S GILBERT RD
    CHANDLER, AZ
    ZIP 85249
  • Facility Phone: 480 630-1515
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: RYAN HENDRICKSON
  • NPI Number: 1467831982
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D2194129
LAB Type Assisted Living Facility
Facility Name CLARENDALE OF CHANDLER
Street 5900 S GILBERT RD
City CHANDLER
State AZ
ZIP 85249
Phone 480 630-1515
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/28/2024
Certificate Expiration Date 9/27/2026
Facility Type Assisted Living Facility
Lab Director RYAN HENDRICKSON

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