03D2233350 CLIA NUMBER - MOBILE MENDY LLC

Laboratory Demographics

CLIA Number: 03D2233350

Facility Name: MOBILE MENDY LLC

Facility Address:
515 E CAREFREE HWY
PHOENIX, AZ
ZIP 85086
Get Directions

Facility Phone Number: 602 769-1137

Facility Type: Other - PEDIATRIC MOBILE UC

Certificate Type: Waiver

NPI Number: 1770251068

Taxonomy: 363LP0200X - Nurse Practitioner

CLIA Record

Field Name	Field Value
CLIA Number	03D2233350
LAB Type	Other - PEDIATRIC MOBILE UC
Facility Name	MOBILE MENDY LLC
Street	515 E CAREFREE HWY
City	PHOENIX
State	AZ
ZIP	85086
Phone	602 769-1137
CertificateType	4
CertificateEffectiveDate	8/23/2023
CertificateExpirationDate	8/22/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024