03D2309021 CLIA NUMBER - HEALTHY YOU PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 03D2309021
  • Facility Name: HEALTHY YOU PRIMARY CARE
  • Facility Address: 1760 E PECOS RD STE 431
    GILBERT, AZ
    ZIP 85295
  • Facility Phone: 480 237-3451
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: OMAR L. DOMINIQUE
  • NPI Number: 1407472467
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D2309021
LAB Type Physician Office
Facility Name HEALTHY YOU PRIMARY CARE
Street 1760 E PECOS RD STE 431
City GILBERT
State AZ
ZIP 85295
Phone 480 237-3451
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/8/2024
Certificate Expiration Date 8/7/2026
Facility Type Physician Office
Lab Director OMAR L. DOMINIQUE

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