03D1059103 CLIA NUMBER - DESERT WEST OBGYN

Laboratory Demographics

  • CLIA Code: 03D1059103
  • Facility Name: DESERT WEST OBGYN
  • Facility Address: 9305 W THOMAS RD STE 550
    PHOENIX, AZ
    ZIP 85037
  • Facility Phone: 520 795-0549
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LEE KOON
  • NPI Number: 1588100564
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 03D1059103
LAB Type Physician Office
Facility Name DESERT WEST OBGYN
Street 9305 W THOMAS RD STE 550
City PHOENIX
State AZ
ZIP 85037
Phone 520 795-0549
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/8/2024
Certificate Expiration Date 5/7/2026
Facility Type Physician Office
Lab Director LEE KOON

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