03D1031285 CLIA NUMBER - AKDHC - PIMA

Laboratory Demographics

CLIA Number: 03D1031285

Facility Name: AKDHC - PIMA

Facility Address:
9700 N 91ST ST STE A103
SCOTTSDALE, AZ
ZIP 85258
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Facility Phone Number: 480 551-1057

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1114116548

Taxonomy: 207RN0300X - Internal Medicine
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

CLIA Record

Field Name	Field Value
CLIA Number	03D1031285
LAB Type	Physician Office
Facility Name	AKDHC - PIMA
Street	9700 N 91ST ST STE A103
City	SCOTTSDALE
State	AZ
ZIP	85258
Phone	480 551-1057
CertificateType	3
CertificateEffectiveDate	9/28/2022
CertificateExpirationDate	9/27/2024
FacilityType	PPMP

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This page was last updated on: 4/23/2024