03D2212832 CLIA NUMBER - LAKESIDE HEART AND VASCULAR CENTER-PARKER

Laboratory Demographics

  • CLIA Code: 03D2212832
  • Facility Name: LAKESIDE HEART AND VASCULAR CENTER-PARKER
  • Facility Address: 1016 S JOSHUA AVENUE
    PARKER, AZ
    ZIP 85344
  • Facility Phone: 928 669-5482
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FADI ATASSI
  • NPI Number: 1023349511
  • Taxonomy: 207X00000X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 03D2212832
LAB Type Physician Office
Facility Name LAKESIDE HEART AND VASCULAR CENTER-PARKER
Street 1016 S JOSHUA AVENUE
City PARKER
State AZ
ZIP 85344
Phone 928 669-5482
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/8/2025
Certificate Expiration Date 2/7/2027
Facility Type Physician Office
Lab Director FADI ATASSI

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This page was last updated on: 3/20/2025