03D2278845 CLIA NUMBER - WEST VALLEY HEALTH EQUITY

Laboratory Demographics

  • CLIA Code: 03D2278845
  • Facility Name: WEST VALLEY HEALTH EQUITY
  • Facility Address: 4338 W THOMAS RD
    PHOENIX, AZ
    ZIP 85037
  • Facility Phone: 623 826-8116
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NICHOLAS BUJAK
  • NPI Number: 1013359165
  • Taxonomy: 261QP3300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2278845
LAB Type Physician Office
Facility Name WEST VALLEY HEALTH EQUITY
Street 4338 W THOMAS RD
City PHOENIX
State AZ
ZIP 85037
Phone 623 826-8116
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/24/2025
Certificate Expiration Date 3/23/2027
Facility Type Physician Office
Lab Director NICHOLAS BUJAK

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