03D2311978 CLIA NUMBER - TEMPE ANGIC

Laboratory Demographics

  • CLIA Code: 03D2311978
  • Facility Name: TEMPE ANGIC
  • Facility Address: 1855 E GUADALUPE RD STE 112
    TEMPE, AZ
    ZIP 85283
  • Facility Phone: 480 839-8552
  • Facility Type: Other - GROUP PRACTICE
  • Facility Type: Waiver
  • Lab Director: MICHAEL D. CROMIER
  • NPI Number: 1851973739
  • Taxonomy: 208100000X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 03D2311978
LAB Type Other - GROUP PRACTICE
Facility Name TEMPE ANGIC
Street 1855 E GUADALUPE RD STE 112
City TEMPE
State AZ
ZIP 85283
Phone 480 839-8552
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2024
Certificate Expiration Date 10/1/2026
Facility Type Other - GROUP PRACTICE
Lab Director MICHAEL D. CROMIER

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