03D1021736 CLIA NUMBER - GRAYHAWK FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 03D1021736
  • Facility Name: GRAYHAWK FAMILY PRACTICE
  • Facility Address: 10051 E DYNAMITE BLVD STE 110
    SCOTTSDALE, AZ
    ZIP 85262
  • Facility Phone: 480 473-7003
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ARNETTA N. KING
  • NPI Number: 1013491166
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D1021736
LAB Type Physician Office
Facility Name GRAYHAWK FAMILY PRACTICE
Street 10051 E DYNAMITE BLVD STE 110
City SCOTTSDALE
State AZ
ZIP 85262
Phone 480 473-7003
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/1/2024
Certificate Expiration Date 10/31/2026
Facility Type Physician Office
Lab Director ARNETTA N. KING

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