03D2317426 CLIA NUMBER - DENOVA COLLABORATIVE HEALTH-PEORIA

Laboratory Demographics

  • CLIA Code: 03D2317426
  • Facility Name: DENOVA COLLABORATIVE HEALTH-PEORIA
  • Facility Address: 13128 N 94TH DR STE 202
    PEORIA, AZ
    ZIP 85381
  • Facility Phone: 602 230-7373
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ARTHUR L. PELBERG
  • NPI Number: 1881115558
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 03D2317426
LAB Type Physician Office
Facility Name DENOVA COLLABORATIVE HEALTH-PEORIA
Street 13128 N 94TH DR STE 202
City PEORIA
State AZ
ZIP 85381
Phone 602 230-7373
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/24/2025
Certificate Expiration Date 1/23/2027
Facility Type Physician Office
Lab Director ARTHUR L. PELBERG

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