03D2194734 CLIA NUMBER - FREEDOM HEALTH INTERVENTIONAL CENTERS DBA VASCULAR INSTITUTE

Laboratory Demographics

  • CLIA Code: 03D2194734
  • Facility Name: FREEDOM HEALTH INTERVENTIONAL CENTERS DBA VASCULAR INSTITUTE
  • Facility Address: 6036 N 19TH AVE STE 204
    PHOENIX, AZ
    ZIP 85015
  • Facility Phone: 480 616-0356
  • Facility Type: Other - OUTPATIENT LAB
  • Facility Type: Certificate of Compliance
  • Lab Director: SANDEEP RAO
  • NPI Number: 1508364860
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2194734
LAB Type Other - OUTPATIENT LAB
Facility Name FREEDOM HEALTH INTERVENTIONAL CENTERS DBA VASCULAR INSTITUTE
Street 6036 N 19TH AVE STE 204
City PHOENIX
State AZ
ZIP 85015
Phone 480 616-0356
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 8/3/2023
Certificate Expiration Date 10/31/2025
Facility Type Other - OUTPATIENT LAB
Lab Director SANDEEP RAO

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