03D1031284 CLIA NUMBER - AKDHC - NORTH MOUNTAIN

Laboratory Demographics

  • CLIA Code: 03D1031284
  • Facility Name: AKDHC - NORTH MOUNTAIN
  • Facility Address: 9100 N 2ND ST, STE 221
    PHOENIX, AZ
    ZIP 85020
  • Facility Phone: 602 943-1231
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DAVID RASKIN
  • NPI Number: 1316481617
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D1031284
LAB Type Physician Office
Facility Name AKDHC - NORTH MOUNTAIN
Street 9100 N 2ND ST, STE 221
City PHOENIX
State AZ
ZIP 85020
Phone 602 943-1231
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 9/28/2024
Certificate Expiration Date 9/27/2026
Facility Type Physician Office
Lab Director DAVID RASKIN

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