03D2323278 CLIA NUMBER - RENEW WELLNESS

Laboratory Demographics

  • CLIA Code: 03D2323278
  • Facility Name: RENEW WELLNESS
  • Facility Address: 3303 E BASELINE RD STE 204
    GILBERT, AZ
    ZIP 85234
  • Facility Phone: 480 630-1733
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: KAMEE WITTS
  • NPI Number: 1104476993
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2323278
LAB Type Practitioner Other
Facility Name RENEW WELLNESS
Street 3303 E BASELINE RD STE 204
City GILBERT
State AZ
ZIP 85234
Phone 480 630-1733
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 Practitioner Other
Lab Director KAMEE WITTS

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