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DEVEREUX ARIZONA
NPI 1033614060
Clinic/Center - Community Health in Mesa, AZ

Active since March 30, 2018CLIA 03D2199487 · Waiver
1837 S MESA DR STE A200, MESA, AZ 85210(602) 283-1547 Get Directions Write a Review

NPPES record last updated: March 30, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Devereux Arizona NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEVEREUX ARIZONA (NPI 1033614060) is a healthcare organization registered as a community health in Mesa, Arizona and active in the NPI registry since March 2018. The organization holds a CLIA Waiver certificate valid through September 25, 2027 and lists Lane Barker, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1033614060
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameDEVEREUX FOUNDATION
Location Address1837 S MESA DR STE A200Mesa, AZ 85210-6219
Mailing Address2025 N 3rd St Ste 250Phoenix, AZ 85004-1472 · (602) 283-1573
Phone(602) 283-1547
Organization SubpartNo
Authorized OfficialLane BarkerExecutive Director · (480) 998-2920
Enumeration DateMarch 30, 2018
✔ NPI 1033614060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
1837 S MESA DR STE A200, Mesa, AZ 85210
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Other Names 1

Doing Business AsDevereux Arizona

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2199487

Devereux Arizona - Community And Family Services · Phoenix, AZ
Active · expires Sep 25, 2027
CLIA Number03D2199487
Laboratory TypeCommunity Clinic
Certificate Effective DateSeptember 26, 2025
Certificate Expiration DateSeptember 25, 2027
Laboratory DirectorRobert Shuch
Laboratory Phone(602) 283-1573
Laboratory LocationDevereux Arizona - Community And Family Services11024 N 28th Dr Ste 110, Phoenix, AZ 85029
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Devereux Foundation's NPI number?

The NPI number for Devereux Foundation is 1033614060. It was assigned to this organization in the NPPES registry on March 30, 2018. The provider is doing business as Devereux Arizona.

Where is Devereux Foundation located?

Devereux Foundation is located at 1837 S Mesa Dr Ste A200, Mesa, AZ 85210. The listed phone number is (602) 283-1547.

What is Devereux Foundation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

Does Devereux Foundation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2199487) is associated with this NPI, valid through September 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Devereux Foundation was last updated on March 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.