03D2310943 CLIA NUMBER - DBOTC LLC

Laboratory Demographics

  • CLIA Code: 03D2310943
  • Facility Name: DBOTC LLC
  • Facility Address: 1616 E MAIN ST STE 111
    MESA, AZ
    ZIP 85203
  • Facility Phone: 480 388-4906
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: JOHN ONEAL
  • NPI Number: 1912508342
  • Taxonomy: 261QM0850X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2310943
LAB Type Comp. Outpatient Rehab Facility
Facility Name DBOTC LLC
Street 1616 E MAIN ST STE 111
City MESA
State AZ
ZIP 85203
Phone 480 388-4906
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/13/2024
Certificate Expiration Date 9/12/2026
Facility Type Comp. Outpatient Rehab Facility
Lab Director JOHN ONEAL

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