03D2291374 CLIA NUMBER - HEART ONE ASSOCIATES

Laboratory Demographics

  • CLIA Code: 03D2291374
  • Facility Name: HEART ONE ASSOCIATES
  • Facility Address: 6677 W THUNDERBIRD RD BLDG G116
    GLENDALE, AZ
    ZIP 85306
  • Facility Phone: 602 584-5444
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAJKUMAR SUGUMARAN
  • NPI Number: 1942778766
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D2291374
LAB Type Physician Office
Facility Name HEART ONE ASSOCIATES
Street 6677 W THUNDERBIRD RD BLDG G116
City GLENDALE
State AZ
ZIP 85306
Phone 602 584-5444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/10/2023
Certificate Expiration Date 10/9/2025
Facility Type Physician Office
Lab Director RAJKUMAR SUGUMARAN

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