03D2295769 CLIA NUMBER - SAN TAN PSYCHIATRY

Laboratory Demographics

  • CLIA Code: 03D2295769
  • Facility Name: SAN TAN PSYCHIATRY
  • Facility Address: 1910 S STAPLEY DR STE 217
    MESA, AZ
    ZIP 85201
  • Facility Phone: 602 888-0370
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DONALD E. MASON
  • NPI Number: 1437936655
  • Taxonomy: 261QM0801X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 03D2295769
LAB Type Physician Office
Facility Name SAN TAN PSYCHIATRY
Street 1910 S STAPLEY DR STE 217
City MESA
State AZ
ZIP 85201
Phone 602 888-0370
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/15/2023
Certificate Expiration Date 12/14/2025
Facility Type Physician Office
Lab Director DONALD E. MASON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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