03D2299136 CLIA NUMBER - CASA GRANDE BPS

Laboratory Demographics

  • CLIA Code: 03D2299136
  • Facility Name: CASA GRANDE BPS
  • Facility Address: 396 CAMINO MERCADO
    CASA GRANDE, AZ
    ZIP 85122
  • Facility Phone: 915 637-8892
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DEZHEEN ZEBARI
  • NPI Number: 1588608822
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 03D2299136
LAB Type Community Clinic
Facility Name CASA GRANDE BPS
Street 396 CAMINO MERCADO
City CASA GRANDE
State AZ
ZIP 85122
Phone 915 637-8892
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/14/2024
Certificate Expiration Date 2/13/2026
Facility Type Community Clinic
Lab Director DEZHEEN ZEBARI

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