03D2322928 CLIA NUMBER - QUAYLE INTERNATIONAL SERVICES DBA HAVEN INTERVENTIONAL SERVICES

Laboratory Demographics

  • CLIA Code: 03D2322928
  • Facility Name: QUAYLE INTERNATIONAL SERVICES DBA HAVEN INTERVENTIONAL SERVICES
  • Facility Address: 5041 W NORTHERN AVE STE B
    GLENDALE, AZ
    ZIP 85301
  • Facility Phone: 480 508-1077
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ANGELA BAZEMORE QUAYE
  • NPI Number: 1205461696
  • Taxonomy: 385HR2060X - Respite Care

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 03D2322928
LAB Type Home Health Agency
Facility Name QUAYLE INTERNATIONAL SERVICES DBA HAVEN INTERVENTIONAL SERVICES
Street 5041 W NORTHERN AVE STE B
City GLENDALE
State AZ
ZIP 85301
Phone 480 508-1077
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/29/2025
Certificate Expiration Date 4/28/2027
Facility Type Home Health Agency
Lab Director ANGELA BAZEMORE QUAYE

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