03D1023197 CLIA NUMBER - ENVITA MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 03D1023197
  • Facility Name: ENVITA MEDICAL CENTER
  • Facility Address: 8759 EAST BELL RD
    SCOTTSDALE, AZ
    ZIP 85260
  • Facility Phone: 602 569-4144
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. RONALD MATHIAS
  • NPI Number: 1164682472
  • Taxonomy: 207RX0202X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D1023197
LAB Type Physician Office
Facility Name ENVITA MEDICAL CENTER
Street 8759 EAST BELL RD
City SCOTTSDALE
State AZ
ZIP 85260
Phone 602 569-4144
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/22/2024
Certificate Expiration Date 11/21/2026
Facility Type Physician Office
Lab Director DR. RONALD MATHIAS

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