03D2320266 CLIA NUMBER - DESERT PHLEBOTOMY, LLC

Laboratory Demographics

  • CLIA Code: 03D2320266
  • Facility Name: DESERT PHLEBOTOMY, LLC
  • Facility Address: 5501 S 14TH WAY
    PHOENIX, AZ
    ZIP 85040
  • Facility Phone: 619 796-3141
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: SONJI ROSE JOHNSON
  • NPI Number: 1134019433
  • Taxonomy: 246RP1900X - Technician, Pathology

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CLIA Record

Field Name Field Value
CLIA Number 03D2320266
LAB Type Mobile Laboratory
Facility Name DESERT PHLEBOTOMY, LLC
Street 5501 S 14TH WAY
City PHOENIX
State AZ
ZIP 85040
Phone 619 796-3141
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/14/2025
Certificate Expiration Date 3/13/2027
Facility Type Mobile Laboratory
Lab Director SONJI ROSE JOHNSON

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