03D2205748 CLIA NUMBER - TELEHEALTH ON THE GO, PLLC

Laboratory Demographics

  • CLIA Code: 03D2205748
  • Facility Name: TELEHEALTH ON THE GO, PLLC
  • Facility Address: 7828 W ODEUM LANE
    PHOENIX, AZ
    ZIP 85043
  • Facility Phone: 602 699-5753
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: BRIANNE A. TERRELL
  • NPI Number: 1326643032
  • Taxonomy: 261QM0850X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2205748
LAB Type Mobile Laboratory
Facility Name TELEHEALTH ON THE GO, PLLC
Street 7828 W ODEUM LANE
City PHOENIX
State AZ
ZIP 85043
Phone 602 699-5753
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/15/2024
Certificate Expiration Date 12/14/2026
Facility Type Mobile Laboratory
Lab Director BRIANNE A. TERRELL

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This page was last updated on: 6/4/2025