03D1018759 CLIA NUMBER - SHAWN M SULLIVAN DO PC

Laboratory Demographics

  • CLIA Code: 03D1018759
  • Facility Name: SHAWN M SULLIVAN DO PC
  • Facility Address: 3295 N DRINKWATER BLVD #5
    SCOTTSDALE, AZ
    ZIP 85251
  • Facility Phone: 480 949-0298
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHAWN M. SULLIVAN, DO
  • NPI Number: 1972544450
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D1018759
LAB Type Physician Office
Facility Name SHAWN M SULLIVAN DO PC
Street 3295 N DRINKWATER BLVD #5
City SCOTTSDALE
State AZ
ZIP 85251
Phone 480 949-0298
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/30/2023
Certificate Expiration Date 10/29/2025
Facility Type Physician Office
Lab Director SHAWN M. SULLIVAN, DO

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