03D2301777 CLIA NUMBER - VHC-V1

Laboratory Demographics

  • CLIA Code: 03D2301777
  • Facility Name: VHC-V1
  • Facility Address: 610 E BASELINE RD
    TEMPE, AZ
    ZIP 85283
  • Facility Phone: 602 753-4133
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: KEITH ZACHER
  • NPI Number: 1205502440
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2301777
LAB Type Ambulatory Surgery Center
Facility Name VHC-V1
Street 610 E BASELINE RD
City TEMPE
State AZ
ZIP 85283
Phone 602 753-4133
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2024
Certificate Expiration Date 3/31/2026
Facility Type Ambulatory Surgery Center
Lab Director KEITH ZACHER

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