03D1029371 CLIA NUMBER - TIFFANY NELSON, MD PLC DBA DESERT RIDGE FAMILY PHYSICIANS

Laboratory Demographics

  • CLIA Code: 03D1029371
  • Facility Name: TIFFANY NELSON, MD PLC DBA DESERT RIDGE FAMILY PHYSICIANS
  • Facility Address: 20940 N TATUM BLVD, STE 300
    PHOENIX, AZ
    ZIP 85050
  • Facility Phone: 480 607-0060
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: TIFFANY M. NELSON, MD
  • NPI Number: 1265413033
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D1029371
LAB Type Physician Office
Facility Name TIFFANY NELSON, MD PLC DBA DESERT RIDGE FAMILY PHYSICIANS
Street 20940 N TATUM BLVD, STE 300
City PHOENIX
State AZ
ZIP 85050
Phone 480 607-0060
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 8/16/2024
Certificate Expiration Date 8/15/2026
Facility Type Physician Office
Lab Director TIFFANY M. NELSON, MD

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