03D1015230 CLIA NUMBER - DESERT HEART CENTER

Laboratory Demographics

CLIA Number: 03D1015230

Facility Name: DESERT HEART CENTER

Facility Address:
3815 E BELL RD, #3400
PHOENIX, AZ
ZIP 85032
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Facility Phone Number: 602 971-2761

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1225089014

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	03D1015230
LAB Type	Physician Office
Facility Name	DESERT HEART CENTER
Street	3815 E BELL RD, #3400
City	PHOENIX
State	AZ
ZIP	85032
Phone	602 971-2761
CertificateType	4
CertificateEffectiveDate	7/28/2023
CertificateExpirationDate	7/27/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024