03D0679853 CLIA NUMBER - ARIZONA SPECIALIZED GYNECOLOGY, LLC

Laboratory Demographics

  • CLIA Code: 03D0679853
  • Facility Name: ARIZONA SPECIALIZED GYNECOLOGY, LLC
  • Facility Address: 300 W CLARENDON AVE STE 100
    PHOENIX, AZ
    ZIP 85013
  • Facility Phone: 602 265-1112
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: RICHARD W. TREPETA
  • NPI Number: 1780863191
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 03D0679853
LAB Type Physician Office
Facility Name ARIZONA SPECIALIZED GYNECOLOGY, LLC
Street 300 W CLARENDON AVE STE 100
City PHOENIX
State AZ
ZIP 85013
Phone 602 265-1112
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 6/29/2023
Certificate Expiration Date 6/28/2025
Facility Type Physician Office
Lab Director RICHARD W. TREPETA

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This page was last updated on: 6/4/2025