03D2324843 CLIA NUMBER - EAST VALLEY DIAGNOSTICS LLC

Laboratory Demographics

  • CLIA Code: 03D2324843
  • Facility Name: EAST VALLEY DIAGNOSTICS LLC
  • Facility Address: 2509 S POWER RD STE 105
    MESA, AZ
    ZIP 85209
  • Facility Phone: 623 624-7420
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: GHAITH ALTAWALLBEH
  • NPI Number: 1104615673
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 03D2324843
LAB Type Independent
Facility Name EAST VALLEY DIAGNOSTICS LLC
Street 2509 S POWER RD STE 105
City MESA
State AZ
ZIP 85209
Phone 623 624-7420
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 6/2/2025
Certificate Expiration Date 6/1/2027
Facility Type Independent
Lab Director GHAITH ALTAWALLBEH

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