03D2252729 CLIA NUMBER - MOBILE LABORATORY USA LLC

Laboratory Demographics

  • CLIA Code: 03D2252729
  • Facility Name: MOBILE LABORATORY USA LLC
  • Facility Address: 2601 W CLAREMONT ST APT 2079
    PHOENIX, AZ
    ZIP 85017
  • Facility Phone: 623 999-4220
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: ARLETY MARTINEZ PENA
  • NPI Number: 1992388631
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 03D2252729
LAB Type Mobile Laboratory
Facility Name MOBILE LABORATORY USA LLC
Street 2601 W CLAREMONT ST APT 2079
City PHOENIX
State AZ
ZIP 85017
Phone 623 999-4220
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/14/2024
Certificate Expiration Date 2/13/2026
Facility Type Mobile Laboratory
Lab Director ARLETY MARTINEZ PENA

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