03D0949681 CLIA NUMBER - CEB CAPITAL LLC DBA B-HEALTHY CLINIC

Laboratory Demographics

  • CLIA Code: 03D0949681
  • Facility Name: CEB CAPITAL LLC DBA B-HEALTHY CLINIC
  • Facility Address: 9150 W INDIAN SCHOOL RD STE 111B
    PHOENIX, AZ
    ZIP 85037
  • Facility Phone: 623 247-2300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ETHAN KENNEDY
  • NPI Number: 1073986212
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D0949681
LAB Type Physician Office
Facility Name CEB CAPITAL LLC DBA B-HEALTHY CLINIC
Street 9150 W INDIAN SCHOOL RD STE 111B
City PHOENIX
State AZ
ZIP 85037
Phone 623 247-2300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/7/2024
Certificate Expiration Date 8/6/2026
Facility Type Physician Office
Lab Director ETHAN KENNEDY

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