03D2309095 CLIA NUMBER - PATH TO PROGRESS LLC

Laboratory Demographics

  • CLIA Code: 03D2309095
  • Facility Name: PATH TO PROGRESS LLC
  • Facility Address: 2727 W GLENDALE AVE STE 202, SECOND FLOOR
    PHOENIX, AZ
    ZIP 85051
  • Facility Phone: 334 237-9788
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: DAUD B. KOLEOSHO
  • NPI Number: 1316719974
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2309095
LAB Type Ancillary Testing Site in Health Care Center
Facility Name PATH TO PROGRESS LLC
Street 2727 W GLENDALE AVE STE 202, SECOND FLOOR
City PHOENIX
State AZ
ZIP 85051
Phone 334 237-9788
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 Ancillary Testing Site in Health Care Center
Lab Director DAUD B. KOLEOSHO

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