03D2199483 CLIA NUMBER - BOWSER'S GARDEN LLC DBA HEALTHCARE PARTNERS

Laboratory Demographics

  • CLIA Code: 03D2199483
  • Facility Name: BOWSER'S GARDEN LLC DBA HEALTHCARE PARTNERS
  • Facility Address: 2400 W DUNLAP AVE STE 125
    PHOENIX, AZ
    ZIP 85021
  • Facility Phone: 602 698-7597
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: LUANNE TAKACS KELLY
  • NPI Number: 1205476868
  • Taxonomy: 363LA2200X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 03D2199483
LAB Type Practitioner Other
Facility Name BOWSER'S GARDEN LLC DBA HEALTHCARE PARTNERS
Street 2400 W DUNLAP AVE STE 125
City PHOENIX
State AZ
ZIP 85021
Phone 602 698-7597
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/9/2024
Certificate Expiration Date 11/8/2026
Facility Type Practitioner Other
Lab Director LUANNE TAKACS KELLY

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