03D0527400 CLIA NUMBER - FAMILY PRACTICE SPECIALISTS LTD

Laboratory Demographics

  • CLIA Code: 03D0527400
  • Facility Name: FAMILY PRACTICE SPECIALISTS LTD
  • Facility Address: 4600 E SHEA BLVD STE 100
    PHOENIX, AZ
    ZIP 85028
  • Facility Phone: 602 955-8700
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: MARK WYSE
  • NPI Number: 1972563187
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 03D0527400
LAB Type Physician Office
Facility Name FAMILY PRACTICE SPECIALISTS LTD
Street 4600 E SHEA BLVD STE 100
City PHOENIX
State AZ
ZIP 85028
Phone 602 955-8700
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 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Physician Office
Lab Director MARK WYSE

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