03D1075693 CLIA NUMBER - SOUTHWEST NETWORK, INC

Laboratory Demographics

  • CLIA Code: 03D1075693
  • Facility Name: SOUTHWEST NETWORK, INC
  • Facility Address: 2700 N CENTRAL AVE #1050
    PHOENIX, AZ
    ZIP 85004
  • Facility Phone: 602 266-8402
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: DR. KATE KELLEY
  • NPI Number: 1306097886
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 03D1075693
LAB Type Other
Facility Name SOUTHWEST NETWORK, INC
Street 2700 N CENTRAL AVE #1050
City PHOENIX
State AZ
ZIP 85004
Phone 602 266-8402
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/25/2023
Certificate Expiration Date 10/24/2025
Facility Type Other
Lab Director DR. KATE KELLEY

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