03D2308359 CLIA NUMBER - ELEVATE MEDICAL GROUP PLLC

Laboratory Demographics

  • CLIA Code: 03D2308359
  • Facility Name: ELEVATE MEDICAL GROUP PLLC
  • Facility Address: 2815 S ALMA SCHOOL RD STE 112
    MESA, AZ
    ZIP 85210
  • Facility Phone: 480 506-9701
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: KIMBERLY D. LEE
  • NPI Number: 1285402040
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 03D2308359
LAB Type Practitioner Other
Facility Name ELEVATE MEDICAL GROUP PLLC
Street 2815 S ALMA SCHOOL RD STE 112
City MESA
State AZ
ZIP 85210
Phone 480 506-9701
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/25/2024
Certificate Expiration Date 7/24/2026
Facility Type Practitioner Other
Lab Director KIMBERLY D. LEE

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