03D1082429 CLIA NUMBER - ARIZONA WOMENS SPECIALISTS MARYVALE MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 03D1082429
  • Facility Name: ARIZONA WOMENS SPECIALISTS MARYVALE MEDICAL CENTER
  • Facility Address: 4700 N 51ST AVE, SUITE 5
    PHOENIX, AZ
    ZIP 85031
  • Facility Phone: 623 846-7597
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HETAL C. SHAH, MD
  • NPI Number: 1437189404
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 03D1082429
LAB Type Physician Office
Facility Name ARIZONA WOMENS SPECIALISTS MARYVALE MEDICAL CENTER
Street 4700 N 51ST AVE, SUITE 5
City PHOENIX
State AZ
ZIP 85031
Phone 623 846-7597
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/9/2024
Certificate Expiration Date 4/8/2026
Facility Type Physician Office
Lab Director HETAL C. SHAH, MD

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