03D2297342 CLIA NUMBER - PURA PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 03D2297342
  • Facility Name: PURA PRIMARY CARE
  • Facility Address: 9305 W THOMAS RD STE 285
    PHOENIX, AZ
    ZIP 85037
  • Facility Phone: 602 677-3801
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER STALBERG
  • NPI Number: 1750158036
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D2297342
LAB Type Physician Office
Facility Name PURA PRIMARY CARE
Street 9305 W THOMAS RD STE 285
City PHOENIX
State AZ
ZIP 85037
Phone 602 677-3801
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/16/2024
Certificate Expiration Date 1/15/2026
Facility Type Physician Office
Lab Director CHRISTOPHER STALBERG

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