03D2305405 CLIA NUMBER - CENTURY CARE CORP DBA ATLAS MEDICAL

Laboratory Demographics

  • CLIA Code: 03D2305405
  • Facility Name: CENTURY CARE CORP DBA ATLAS MEDICAL
  • Facility Address: 7227 E BASELINE RD, STE 126
    MESA, AZ
    ZIP 85209
  • Facility Phone: 480 868-9650
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BENJAMIN LARSEN
  • NPI Number: 1346499324
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 03D2305405
LAB Type Physician Office
Facility Name CENTURY CARE CORP DBA ATLAS MEDICAL
Street 7227 E BASELINE RD, STE 126
City MESA
State AZ
ZIP 85209
Phone 480 868-9650
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/30/2024
Certificate Expiration Date 5/29/2026
Facility Type Physician Office
Lab Director BENJAMIN LARSEN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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