03D2204940 CLIA NUMBER - CALVARY HEALING CENTER

Laboratory Demographics

  • CLIA Code: 03D2204940
  • Facility Name: CALVARY HEALING CENTER
  • Facility Address: 720 E MONTEBELLO AVE
    PHOENIX, AZ
    ZIP 85014
  • Facility Phone: 602 279-1468
  • Facility Type: Other - BHC
  • Facility Type: Waiver
  • Lab Director: JAMES LOO
  • NPI Number: 1770732885
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2204940
LAB Type Other - BHC
Facility Name CALVARY HEALING CENTER
Street 720 E MONTEBELLO AVE
City PHOENIX
State AZ
ZIP 85014
Phone 602 279-1468
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/11/2024
Certificate Expiration Date 12/10/2026
Facility Type Other - BHC
Lab Director JAMES LOO

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