03D1011379 CLIA NUMBER - 21ST CENTURY NEUROLOGY, XENOSCIENCE

Laboratory Demographics

  • CLIA Code: 03D1011379
  • Facility Name: 21ST CENTURY NEUROLOGY, XENOSCIENCE
  • Facility Address: 2601 NORTH THIRD ST STE 125
    PHOENIX, AZ
    ZIP 85004
  • Facility Phone: 602 265-6500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEPHEN S. FLITMAN
  • NPI Number: 1467492066
  • Taxonomy: 2084N0400X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 03D1011379
LAB Type Physician Office
Facility Name 21ST CENTURY NEUROLOGY, XENOSCIENCE
Street 2601 NORTH THIRD ST STE 125
City PHOENIX
State AZ
ZIP 85004
Phone 602 265-6500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/8/2025
Certificate Expiration Date 4/7/2027
Facility Type Physician Office
Lab Director STEPHEN S. FLITMAN

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