03D1085957 CLIA NUMBER - SOUTHWEST CENTER FOR HIV/AIDS

Laboratory Demographics

  • CLIA Code: 03D1085957
  • Facility Name: SOUTHWEST CENTER FOR HIV/AIDS
  • Facility Address: 1101 N CENTRAL AVE, SUITE 200
    PHOENIX, AZ
    ZIP 85004
  • Facility Phone: 602 595-8146
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: TAYLOR PIONTEK
  • NPI Number: 1235393240
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 03D1085957
LAB Type Community Clinic
Facility Name SOUTHWEST CENTER FOR HIV/AIDS
Street 1101 N CENTRAL AVE, SUITE 200
City PHOENIX
State AZ
ZIP 85004
Phone 602 595-8146
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2024
Certificate Expiration Date 6/30/2026
Facility Type Community Clinic
Lab Director TAYLOR PIONTEK

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This page was last updated on: 6/4/2025