03D1096503 CLIA NUMBER - SWSS LLC DBA SOUTHWEST SPINE AND SPORTS

Laboratory Demographics

  • CLIA Code: 03D1096503
  • Facility Name: SWSS LLC DBA SOUTHWEST SPINE AND SPORTS
  • Facility Address: 9913 N 95TH STREET
    SCOTTSDALE, AZ
    ZIP 85258
  • Facility Phone: 480 860-8998
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL W. WOLFF
  • NPI Number: 1174988364
  • Taxonomy: 208100000X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 03D1096503
LAB Type Physician Office
Facility Name SWSS LLC DBA SOUTHWEST SPINE AND SPORTS
Street 9913 N 95TH STREET
City SCOTTSDALE
State AZ
ZIP 85258
Phone 480 860-8998
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/5/2025
Certificate Expiration Date 3/4/2027
Facility Type Physician Office
Lab Director MICHAEL W. WOLFF

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