03D2270302 CLIA NUMBER - ASSOCIATED RETINA CONSULTANTS

Laboratory Demographics

  • CLIA Code: 03D2270302
  • Facility Name: ASSOCIATED RETINA CONSULTANTS
  • Facility Address: 3513 S MERCY RD
    GILBERT, AZ
    ZIP 85297
  • Facility Phone: 480 999-5458
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BENJAMIN BAKALL
  • NPI Number: 1922463538
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 03D2270302
LAB Type Physician Office
Facility Name ASSOCIATED RETINA CONSULTANTS
Street 3513 S MERCY RD
City GILBERT
State AZ
ZIP 85297
Phone 480 999-5458
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/12/2024
Certificate Expiration Date 10/11/2026
Facility Type Physician Office
Lab Director BENJAMIN BAKALL

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