03D2324572 CLIA NUMBER - COALESCENCE HEALTH SERVICES, LLC

Laboratory Demographics

  • CLIA Code: 03D2324572
  • Facility Name: COALESCENCE HEALTH SERVICES, LLC
  • Facility Address: 1310 N 24TH ST STE 120
    PHOENIX, AZ
    ZIP 85008
  • Facility Phone: 623 850-5608
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SAHANI MANDEEP
  • NPI Number: 1124707674
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2324572
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name COALESCENCE HEALTH SERVICES, LLC
Street 1310 N 24TH ST STE 120
City PHOENIX
State AZ
ZIP 85008
Phone 623 850-5608
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/28/2025
Certificate Expiration Date 5/27/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SAHANI MANDEEP

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