03D2305322 CLIA NUMBER - TRANSTREME ARIZONA WELLNESS CENTER

Laboratory Demographics

  • CLIA Code: 03D2305322
  • Facility Name: TRANSTREME ARIZONA WELLNESS CENTER
  • Facility Address: 60 E RIO SALADO PARKWAY
    TEMPE, AZ
    ZIP 85281
  • Facility Phone: 214 868-4371
  • Facility Type: Other - OUTPT NURSE PRACT CLINIC
  • Facility Type: Waiver
  • Lab Director: RICKY A. MICHEL
  • NPI Number: 1306205257
  • Taxonomy: 363LP2300X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 03D2305322
LAB Type Other - OUTPT NURSE PRACT CLINIC
Facility Name TRANSTREME ARIZONA WELLNESS CENTER
Street 60 E RIO SALADO PARKWAY
City TEMPE
State AZ
ZIP 85281
Phone 214 868-4371
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/29/2024
Certificate Expiration Date 5/28/2026
Facility Type Other - OUTPT NURSE PRACT CLINIC
Lab Director RICKY A. MICHEL

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