03D1106801 CLIA NUMBER - SULTAN Y AYOUB FNP PLLC

Laboratory Demographics

  • CLIA Code: 03D1106801
  • Facility Name: SULTAN Y AYOUB FNP PLLC
  • Facility Address: 21300 N JOHN WAYNE PKWY, #112
    MARICOPA, AZ
    ZIP 85139
  • Facility Phone: 520 568-9500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SULTAN Y. AYOUB
  • NPI Number: 1679803258
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 03D1106801
LAB Type Physician Office
Facility Name SULTAN Y AYOUB FNP PLLC
Street 21300 N JOHN WAYNE PKWY, #112
City MARICOPA
State AZ
ZIP 85139
Phone 520 568-9500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/22/2023
Certificate Expiration Date 10/21/2025
Facility Type Physician Office
Lab Director SULTAN Y. AYOUB

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