03D2300007 CLIA NUMBER - EKOM MEDICAL

Laboratory Demographics

  • CLIA Code: 03D2300007
  • Facility Name: EKOM MEDICAL
  • Facility Address: 18301 N 79TH AVE G190
    GLENDALE, AZ
    ZIP 85308
  • Facility Phone: 602 932-8597
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RACHEL LANGLAND
  • NPI Number: 1316715576
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D2300007
LAB Type Physician Office
Facility Name EKOM MEDICAL
Street 18301 N 79TH AVE G190
City GLENDALE
State AZ
ZIP 85308
Phone 602 932-8597
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/1/2024
Certificate Expiration Date 2/28/2026
Facility Type Physician Office
Lab Director RACHEL LANGLAND

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