03D2293597 CLIA NUMBER - AFFINITY FAMILY MEDICINE, PLLC

Laboratory Demographics

  • CLIA Code: 03D2293597
  • Facility Name: AFFINITY FAMILY MEDICINE, PLLC
  • Facility Address: 2075 W WARNER RD STE 1
    CHANDLER, AZ
    ZIP 85224
  • Facility Phone: 480 788-9510
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: ASHLEE DAUSCHA
  • NPI Number: 1275225039
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 03D2293597
LAB Type Practitioner Other
Facility Name AFFINITY FAMILY MEDICINE, PLLC
Street 2075 W WARNER RD STE 1
City CHANDLER
State AZ
ZIP 85224
Phone 480 788-9510
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/13/2023
Certificate Expiration Date 11/12/2025
Facility Type Practitioner Other
Lab Director ASHLEE DAUSCHA

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