03D2232646 CLIA NUMBER - TOTAL MOBILE MEDICAL LLC

Laboratory Demographics

  • CLIA Code: 03D2232646
  • Facility Name: TOTAL MOBILE MEDICAL LLC
  • Facility Address: 18205 N 51ST AVE STE 107
    GLENDALE, AZ
    ZIP 85308
  • Facility Phone: 623 259-6900
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: JESS MORGAN
  • NPI Number: 1356936736
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 03D2232646
LAB Type Practitioner Other
Facility Name TOTAL MOBILE MEDICAL LLC
Street 18205 N 51ST AVE STE 107
City GLENDALE
State AZ
ZIP 85308
Phone 623 259-6900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/16/2025
Certificate Expiration Date 8/15/2027
Facility Type Practitioner Other
Lab Director JESS MORGAN

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