03D2329051 CLIA NUMBER - HEAVENS MEDICAL

Laboratory Demographics

  • CLIA Code: 03D2329051
  • Facility Name: HEAVENS MEDICAL
  • Facility Address: 95 S IDAHO RD STE 140
    APACHE JUNCTION, AZ
    ZIP 85119
  • Facility Phone: 623 444-2734
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JASON HEAVENS
  • NPI Number: 1023381555
  • Taxonomy: 261Q00000X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 03D2329051
LAB Type Physician Office
Facility Name HEAVENS MEDICAL
Street 95 S IDAHO RD STE 140
City APACHE JUNCTION
State AZ
ZIP 85119
Phone 623 444-2734
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/21/2025
Certificate Expiration Date 8/20/2027
Facility Type Physician Office
Lab Director JASON HEAVENS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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