03D1060402 CLIA NUMBER - SOUTHWEST KIDNEY INSTITUTE, PLC

Laboratory Demographics

CLIA Number: 03D1060402

Facility Name: SOUTHWEST KIDNEY INSTITUTE, PLC

Facility Address:
9305 W THOMAS RD, STE 255
PHOENIX, AZ
ZIP 85037
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Facility Phone Number: 480 610-6100

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1912164039

Taxonomy: 251S00000X - Community/Behavioral Health
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

CLIA Record

Field Name	Field Value
CLIA Number	03D1060402
LAB Type	Physician Office
Facility Name	SOUTHWEST KIDNEY INSTITUTE, PLC
Street	9305 W THOMAS RD, STE 255
City	PHOENIX
State	AZ
ZIP	85037
Phone	480 610-6100
CertificateType	3
CertificateEffectiveDate	10/23/2022
CertificateExpirationDate	10/22/2024
FacilityType	PPMP

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