03D2290372 CLIA NUMBER - LEADING HEALTHCARE CLINIC - MESA

Laboratory Demographics

  • CLIA Code: 03D2290372
  • Facility Name: LEADING HEALTHCARE CLINIC - MESA
  • Facility Address: 8035 E BROWN RD
    MESA, AZ
    ZIP 85207
  • Facility Phone: 602 654-3294
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: WILLIAM NASSOUR
  • NPI Number: 1659108256
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 03D2290372
LAB Type Community Clinic
Facility Name LEADING HEALTHCARE CLINIC - MESA
Street 8035 E BROWN RD
City MESA
State AZ
ZIP 85207
Phone 602 654-3294
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/25/2025
Certificate Expiration Date 9/24/2027
Facility Type Community Clinic
Lab Director WILLIAM NASSOUR

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