03D0972795 CLIA NUMBER - MAXWELL MEDICAL GROUP, PC

Laboratory Demographics

  • CLIA Code: 03D0972795
  • Facility Name: MAXWELL MEDICAL GROUP, PC
  • Facility Address: 11000 N SCOTTSDALE RD #225
    SCOTTSDALE, AZ
    ZIP 85254
  • Facility Phone: 602 508-8055
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HAL B. WILSON MD
  • NPI Number: 1689070591
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D0972795
LAB Type Physician Office
Facility Name MAXWELL MEDICAL GROUP, PC
Street 11000 N SCOTTSDALE RD #225
City SCOTTSDALE
State AZ
ZIP 85254
Phone 602 508-8055
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/18/2024
Certificate Expiration Date 4/17/2026
Facility Type Physician Office
Lab Director HAL B. WILSON MD

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