03D2207153 CLIA NUMBER - INJX BAR

Laboratory Demographics

  • CLIA Code: 03D2207153
  • Facility Name: INJX BAR
  • Facility Address: 10200 W HAPPY VALLEY PKWY STE 125
    PEORIA, AZ
    ZIP 85383
  • Facility Phone: 480 737-5076
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: CARY R. COLE
  • NPI Number: 1457153306
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 03D2207153
LAB Type Practitioner Other
Facility Name INJX BAR
Street 10200 W HAPPY VALLEY PKWY STE 125
City PEORIA
State AZ
ZIP 85383
Phone 480 737-5076
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/23/2024
Certificate Expiration Date 12/22/2026
Facility Type Practitioner Other
Lab Director CARY R. COLE

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