03D2313878 CLIA NUMBER - LIGHTHOUSE PSYCHIATRY

Laboratory Demographics

  • CLIA Code: 03D2313878
  • Facility Name: LIGHTHOUSE PSYCHIATRY
  • Facility Address: 4001 E BASELINE RD STE 204
    GILBERT, AZ
    ZIP 85234
  • Facility Phone: 801 809-8157
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHUNG TRINH
  • NPI Number: 1326596719
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 03D2313878
LAB Type Physician Office
Facility Name LIGHTHOUSE PSYCHIATRY
Street 4001 E BASELINE RD STE 204
City GILBERT
State AZ
ZIP 85234
Phone 801 809-8157
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/8/2024
Certificate Expiration Date 11/7/2026
Facility Type Physician Office
Lab Director CHUNG TRINH

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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