03D2308117 CLIA NUMBER - FUTURE HEALTH & WELLNESS

Laboratory Demographics

  • CLIA Code: 03D2308117
  • Facility Name: FUTURE HEALTH & WELLNESS
  • Facility Address: 18275 N 59TH AVE
    GLENDALE, AZ
    ZIP 85308
  • Facility Phone: 602 857-9945
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MILDRED D. KIAWDIN
  • NPI Number: 1750124459
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2308117
LAB Type Practitioner Other
Facility Name FUTURE HEALTH & WELLNESS
Street 18275 N 59TH AVE
City GLENDALE
State AZ
ZIP 85308
Phone 602 857-9945
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/23/2024
Certificate Expiration Date 7/22/2026
Facility Type Practitioner Other
Lab Director MILDRED D. KIAWDIN

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