03D1072004 CLIA NUMBER - GARY BETZ II MD PC

Laboratory Demographics

  • CLIA Code: 03D1072004
  • Facility Name: GARY BETZ II MD PC
  • Facility Address: 7010 E CHAUNCEY LANE #145
    PHOENIX, AZ
    ZIP 85054
  • Facility Phone: 480 502-5533
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GARY BETZ MD
  • NPI Number: 1518959527
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D1072004
LAB Type Physician Office
Facility Name GARY BETZ II MD PC
Street 7010 E CHAUNCEY LANE #145
City PHOENIX
State AZ
ZIP 85054
Phone 480 502-5533
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/7/2025
Certificate Expiration Date 8/6/2027
Facility Type Physician Office
Lab Director GARY BETZ MD

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