03D0875671 CLIA NUMBER - ASSOCIATED INTERNISTS OF AHWATUKEE, PC

Laboratory Demographics

  • CLIA Code: 03D0875671
  • Facility Name: ASSOCIATED INTERNISTS OF AHWATUKEE, PC
  • Facility Address: 4530 E MUIRWOOD DR #105
    PHOENIX, AZ
    ZIP 85048
  • Facility Phone: 480 961-2303
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EDWARD O. TOKATLIAN MD
  • NPI Number: 1700853199
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D0875671
LAB Type Physician Office
Facility Name ASSOCIATED INTERNISTS OF AHWATUKEE, PC
Street 4530 E MUIRWOOD DR #105
City PHOENIX
State AZ
ZIP 85048
Phone 480 961-2303
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/30/2025
Certificate Expiration Date 8/29/2027
Facility Type Physician Office
Lab Director EDWARD O. TOKATLIAN MD

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