03D2196710 CLIA NUMBER - PENNINGTON GARDENS

Laboratory Demographics

  • CLIA Code: 03D2196710
  • Facility Name: PENNINGTON GARDENS
  • Facility Address: 977 S PENNINGTON DR
    CHANDLER, AZ
    ZIP 85224
  • Facility Phone: 480 814-9046
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: NANCY NJOROGE
  • NPI Number: 1508395757
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 03D2196710
LAB Type Assisted Living Facility
Facility Name PENNINGTON GARDENS
Street 977 S PENNINGTON DR
City CHANDLER
State AZ
ZIP 85224
Phone 480 814-9046
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/19/2024
Certificate Expiration Date 10/18/2026
Facility Type Assisted Living Facility
Lab Director NANCY NJOROGE

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