03D2323269 CLIA NUMBER - FRESH START BONE AND JOINT INSTITUTE

Laboratory Demographics

  • CLIA Code: 03D2323269
  • Facility Name: FRESH START BONE AND JOINT INSTITUTE
  • Facility Address: 13575 W INDIAN SCHOOL RD STE 1000
    LITCHFIELD PARK, AZ
    ZIP 85340
  • Facility Phone: 623 535-9777
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: WENDI LUNDQUIST
  • NPI Number: 1154942829
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 03D2323269
LAB Type Ambulatory Surgery Center
Facility Name FRESH START BONE AND JOINT INSTITUTE
Street 13575 W INDIAN SCHOOL RD STE 1000
City LITCHFIELD PARK
State AZ
ZIP 85340
Phone 623 535-9777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/5/2025
Certificate Expiration Date 5/4/2027
Facility Type Ambulatory Surgery Center
Lab Director WENDI LUNDQUIST

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