03D2252748 CLIA NUMBER - DRS ORDERS AZ HEALTH & WELLNESS

Laboratory Demographics

  • CLIA Code: 03D2252748
  • Facility Name: DRS ORDERS AZ HEALTH & WELLNESS
  • Facility Address: 6750 W OLIVE AVE #104
    PEORIA, AZ
    ZIP 85345
  • Facility Phone: 402 686-6953
  • Facility Type: Health Main. Organization
  • Facility Type: Waiver
  • Lab Director: HYPOLITE KAYENDA
  • NPI Number: 1992586283
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 03D2252748
LAB Type Health Main. Organization
Facility Name DRS ORDERS AZ HEALTH & WELLNESS
Street 6750 W OLIVE AVE #104
City PEORIA
State AZ
ZIP 85345
Phone 402 686-6953
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 Health Main. Organization
Lab Director HYPOLITE KAYENDA

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