03D2308802 CLIA NUMBER - CARDIOVASCULAR CONSULTANTS, LTD

Laboratory Demographics

  • CLIA Code: 03D2308802
  • Facility Name: CARDIOVASCULAR CONSULTANTS, LTD
  • Facility Address: 19646 N 27TH AVE STE 408
    PHOENIX, AZ
    ZIP 85027
  • Facility Phone: 602 887-8644
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KETHES WARAM
  • NPI Number: 1942462767
  • Taxonomy: 261QM2500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2308802
LAB Type Physician Office
Facility Name CARDIOVASCULAR CONSULTANTS, LTD
Street 19646 N 27TH AVE STE 408
City PHOENIX
State AZ
ZIP 85027
Phone 602 887-8644
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/5/2024
Certificate Expiration Date 8/4/2026
Facility Type Physician Office
Lab Director KETHES WARAM

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