03D2287076 CLIA NUMBER - KELLY H ROY MD PC

Laboratory Demographics

  • CLIA Code: 03D2287076
  • Facility Name: KELLY H ROY MD PC
  • Facility Address: 1151 N GILBERT RD
    MESA, AZ
    ZIP 85203
  • Facility Phone: 602 358-8588
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KELLY H. ROY
  • NPI Number: 1891787693
  • Taxonomy: 207VG0400X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 03D2287076
LAB Type Physician Office
Facility Name KELLY H ROY MD PC
Street 1151 N GILBERT RD
City MESA
State AZ
ZIP 85203
Phone 602 358-8588
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/8/2025
Certificate Expiration Date 8/7/2027
Facility Type Physician Office
Lab Director KELLY H. ROY

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