03D1100139 CLIA NUMBER - ST LUKES 727

Laboratory Demographics

  • CLIA Code: 03D1100139
  • Facility Name: ST LUKES 727
  • Facility Address: 727 E BETHANY HOME RD, SUITE D118
    PHOENIX, AZ
    ZIP 85014
  • Facility Phone: 480 213-8765
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: XUAN N. VU
  • NPI Number: 1871035360
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D1100139
LAB Type Physician Office
Facility Name ST LUKES 727
Street 727 E BETHANY HOME RD, SUITE D118
City PHOENIX
State AZ
ZIP 85014
Phone 480 213-8765
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 6/6/2025
Certificate Expiration Date 6/5/2027
Facility Type Physician Office
Lab Director XUAN N. VU

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