03D0717182 CLIA NUMBER - DESERT MOUNTAIN DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 03D0717182
  • Facility Name: DESERT MOUNTAIN DIALYSIS CENTER
  • Facility Address: 9220 E MOUNTAIN VIEW RD #105
    SCOTTSDALE, AZ
    ZIP 85258
  • Facility Phone: 480 391-2241
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: RONALD HYDE
  • NPI Number: 1992769491
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D0717182
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DESERT MOUNTAIN DIALYSIS CENTER
Street 9220 E MOUNTAIN VIEW RD #105
City SCOTTSDALE
State AZ
ZIP 85258
Phone 480 391-2241
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director RONALD HYDE

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