03D2289022 CLIA NUMBER - GOT URINE LAB & DIAGNOSTIC

Laboratory Demographics

  • CLIA Code: 03D2289022
  • Facility Name: GOT URINE LAB & DIAGNOSTIC
  • Facility Address: 7165 E UNIVERSITY DR STE 155
    MESA, AZ
    ZIP 85207
  • Facility Phone: 602 428-4557
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: LATASHA V. SIMS
  • NPI Number: 1225803786
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 03D2289022
LAB Type Mobile Laboratory
Facility Name GOT URINE LAB & DIAGNOSTIC
Street 7165 E UNIVERSITY DR STE 155
City MESA
State AZ
ZIP 85207
Phone 602 428-4557
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/5/2025
Certificate Expiration Date 9/4/2027
Facility Type Mobile Laboratory
Lab Director LATASHA V. SIMS

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