03D1021152 CLIA NUMBER - IRONWOOD PHYSICIANS, PC

Laboratory Demographics

  • CLIA Code: 03D1021152
  • Facility Name: IRONWOOD PHYSICIANS, PC
  • Facility Address: 11209 NORTH TATUM BLVD, STE 260
    PHOENIX, AZ
    ZIP 85028
  • Facility Phone: 602 494-6800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BOO GHEE LOW
  • NPI Number: 1306535869
  • Taxonomy: 207RH0003X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D1021152
LAB Type Physician Office
Facility Name IRONWOOD PHYSICIANS, PC
Street 11209 NORTH TATUM BLVD, STE 260
City PHOENIX
State AZ
ZIP 85028
Phone 602 494-6800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/9/2023
Certificate Expiration Date 12/8/2025
Facility Type Physician Office
Lab Director BOO GHEE LOW

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