03D2220759 CLIA NUMBER - GOODYEAR CHIROPRACTIC CLINIC

Laboratory Demographics

  • CLIA Code: 03D2220759
  • Facility Name: GOODYEAR CHIROPRACTIC CLINIC
  • Facility Address: 15411 W WADDELL RD STE A-101
    SURPRISE, AZ
    ZIP 85379
  • Facility Phone: 623 932-4060
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEFFREY TRINKA
  • NPI Number: 1326298829
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 03D2220759
LAB Type Physician Office
Facility Name GOODYEAR CHIROPRACTIC CLINIC
Street 15411 W WADDELL RD STE A-101
City SURPRISE
State AZ
ZIP 85379
Phone 623 932-4060
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/14/2025
Certificate Expiration Date 4/13/2027
Facility Type Physician Office
Lab Director JEFFREY TRINKA

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