03D2195141 CLIA NUMBER - GILBERT COMPLETE MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 03D2195141
  • Facility Name: GILBERT COMPLETE MEDICAL CLINIC
  • Facility Address: 201 W GUADALUPE RD STE 200
    GILBERT, AZ
    ZIP 85233
  • Facility Phone: 480 219-6631
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NANCY A. MUCHA
  • NPI Number: 1598324733
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D2195141
LAB Type Physician Office
Facility Name GILBERT COMPLETE MEDICAL CLINIC
Street 201 W GUADALUPE RD STE 200
City GILBERT
State AZ
ZIP 85233
Phone 480 219-6631
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2024
Certificate Expiration Date 10/5/2026
Facility Type Physician Office
Lab Director NANCY A. MUCHA

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