03D1107388 CLIA NUMBER - HOLLIS E PHILLIPS MD PC

Laboratory Demographics

  • CLIA Code: 03D1107388
  • Facility Name: HOLLIS E PHILLIPS MD PC
  • Facility Address: 301 E BETHANY HOME RD STE C172
    PHOENIX, AZ
    ZIP 85012
  • Facility Phone: 602 248-0224
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HOLLIS E. PHILLIPS
  • NPI Number: 1497830533
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D1107388
LAB Type Physician Office
Facility Name HOLLIS E PHILLIPS MD PC
Street 301 E BETHANY HOME RD STE C172
City PHOENIX
State AZ
ZIP 85012
Phone 602 248-0224
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/4/2023
Certificate Expiration Date 11/3/2025
Facility Type Physician Office
Lab Director HOLLIS E. PHILLIPS

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