03D2255533 CLIA NUMBER - COMMUNITY PRIMARY CARE, LLC

Laboratory Demographics

  • CLIA Code: 03D2255533
  • Facility Name: COMMUNITY PRIMARY CARE, LLC
  • Facility Address: 13624 W CAMINO DEL SOL STE 150
    SUN CITY WEST, AZ
    ZIP 85375
  • Facility Phone: 623 703-5857
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AZIZ MALLIK
  • NPI Number: 1659041580
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2255533
LAB Type Physician Office
Facility Name COMMUNITY PRIMARY CARE, LLC
Street 13624 W CAMINO DEL SOL STE 150
City SUN CITY WEST
State AZ
ZIP 85375
Phone 623 703-5857
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/15/2024
Certificate Expiration Date 3/14/2026
Facility Type Physician Office
Lab Director AZIZ MALLIK

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