03D2292727 CLIA NUMBER - CARLOS GUTIERREZ PLLC

Laboratory Demographics

  • CLIA Code: 03D2292727
  • Facility Name: CARLOS GUTIERREZ PLLC
  • Facility Address: 700 W CAMPBELL AVE STE 15
    PHOENIX, AZ
    ZIP 85013
  • Facility Phone: 623 600-4126
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LUIS C. GUTIERREZ
  • NPI Number: 1811777568
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D2292727
LAB Type Physician Office
Facility Name CARLOS GUTIERREZ PLLC
Street 700 W CAMPBELL AVE STE 15
City PHOENIX
State AZ
ZIP 85013
Phone 623 600-4126
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/30/2023
Certificate Expiration Date 10/29/2025
Facility Type Physician Office
Lab Director LUIS C. GUTIERREZ

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