03D2226544 CLIA NUMBER - OPTUM COMMUNITY CENTER-CHANDLER

Laboratory Demographics

  • CLIA Code: 03D2226544
  • Facility Name: OPTUM COMMUNITY CENTER-CHANDLER
  • Facility Address: 985 W CHANDLER HEIGHTS RD, STE 12
    CHANDLER, AZ
    ZIP 85248
  • Facility Phone: 602 414-3382
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. TARA OSTROM
  • NPI Number: 1598118713
  • Taxonomy: 1223P0221X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 03D2226544
LAB Type Physician Office
Facility Name OPTUM COMMUNITY CENTER-CHANDLER
Street 985 W CHANDLER HEIGHTS RD, STE 12
City CHANDLER
State AZ
ZIP 85248
Phone 602 414-3382
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2025
Certificate Expiration Date 5/31/2027
Facility Type Physician Office
Lab Director DR. TARA OSTROM

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