03D1021738 CLIA NUMBER - PHOENIX MEDICAL GROUP, PC

Laboratory Demographics

  • CLIA Code: 03D1021738
  • Facility Name: PHOENIX MEDICAL GROUP, PC
  • Facility Address: 6677 W THUNDERBIRD RD BLDG E
    GLENDALE, AZ
    ZIP 85306
  • Facility Phone: 623 815-7800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT R. ORR, DO
  • NPI Number: 1710279658
  • Taxonomy: 261QS1200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D1021738
LAB Type Physician Office
Facility Name PHOENIX MEDICAL GROUP, PC
Street 6677 W THUNDERBIRD RD BLDG E
City GLENDALE
State AZ
ZIP 85306
Phone 623 815-7800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/28/2024
Certificate Expiration Date 8/27/2026
Facility Type Physician Office
Lab Director ROBERT R. ORR, DO

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