03D2328391 CLIA NUMBER - DEHP LLC DBA DEHP THERAPEUTIC

Laboratory Demographics

  • CLIA Code: 03D2328391
  • Facility Name: DEHP LLC DBA DEHP THERAPEUTIC
  • Facility Address: 3336 N 32ND ST STE 106
    PHOENIX, AZ
    ZIP 85018
  • Facility Phone: 602 566-7627
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: AILEEN MACARAEG
  • NPI Number: 1770385460
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 03D2328391
LAB Type Practitioner Other
Facility Name DEHP LLC DBA DEHP THERAPEUTIC
Street 3336 N 32ND ST STE 106
City PHOENIX
State AZ
ZIP 85018
Phone 602 566-7627
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/8/2025
Certificate Expiration Date 8/7/2027
Facility Type Practitioner Other
Lab Director AILEEN MACARAEG

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