03D2316685 CLIA NUMBER - CARELOCK, LLC INDIAN SCHOOL

Laboratory Demographics

  • CLIA Code: 03D2316685
  • Facility Name: CARELOCK, LLC INDIAN SCHOOL
  • Facility Address: 2150 W INDIAN SCHOOL RD
    PHOENIX, AZ
    ZIP 85015
  • Facility Phone: 480 861-3450
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN S. GILLIAM
  • NPI Number: 1245795459
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D2316685
LAB Type Physician Office
Facility Name CARELOCK, LLC INDIAN SCHOOL
Street 2150 W INDIAN SCHOOL RD
City PHOENIX
State AZ
ZIP 85015
Phone 480 861-3450
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/10/2025
Certificate Expiration Date 1/9/2027
Facility Type Physician Office
Lab Director JOHN S. GILLIAM

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