03D0704863 CLIA NUMBER - JOHN M BELDEN DO DBA VAN BUREN MEDICINE LLC

Laboratory Demographics

  • CLIA Code: 03D0704863
  • Facility Name: JOHN M BELDEN DO DBA VAN BUREN MEDICINE LLC
  • Facility Address: 320 N 32ND AVE
    PHOENIX, AZ
    ZIP 85009
  • Facility Phone: 602 278-1351
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JOHN M. BELDEN
  • NPI Number: 1457331530
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D0704863
LAB Type Physician Office
Facility Name JOHN M BELDEN DO DBA VAN BUREN MEDICINE LLC
Street 320 N 32ND AVE
City PHOENIX
State AZ
ZIP 85009
Phone 602 278-1351
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director JOHN M. BELDEN

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