03D2299710 CLIA NUMBER - SUMMIT PROVIDERS GROUP LLC

Laboratory Demographics

  • CLIA Code: 03D2299710
  • Facility Name: SUMMIT PROVIDERS GROUP LLC
  • Facility Address: 700 N DOBSON RD UNIT 25
    CHANDLER, AZ
    ZIP 85224
  • Facility Phone: 480 620-0070
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: ABRAHAM SAYEGH
  • NPI Number: 1982466868
  • Taxonomy: 363LP0808X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 03D2299710
LAB Type Ancillary Testing Site in Health Care Center
Facility Name SUMMIT PROVIDERS GROUP LLC
Street 700 N DOBSON RD UNIT 25
City CHANDLER
State AZ
ZIP 85224
Phone 480 620-0070
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/26/2024
Certificate Expiration Date 2/25/2026
Facility Type Ancillary Testing Site in Health Care Center
Lab Director ABRAHAM SAYEGH

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