03D2298234 CLIA NUMBER - DEHP LLC DBA DEHP THERAPEUTIC

Laboratory Demographics

  • CLIA Code: 03D2298234
  • Facility Name: DEHP LLC DBA DEHP THERAPEUTIC
  • Facility Address: 6242 N 59TH AVE
    GLENDALE, AZ
    ZIP 85301
  • Facility Phone: 602 566-7627
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: AILEEN MACARAEG
  • NPI Number: 1366815508
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 03D2298234
LAB Type Practitioner Other
Facility Name DEHP LLC DBA DEHP THERAPEUTIC
Street 6242 N 59TH AVE
City GLENDALE
State AZ
ZIP 85301
Phone 602 566-7627
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/31/2024
Certificate Expiration Date 1/30/2026
Facility Type Practitioner Other
Lab Director AILEEN MACARAEG

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