03D2003655 CLIA NUMBER - ROSEMARY FADOOL, DO

Laboratory Demographics

  • CLIA Code: 03D2003655
  • Facility Name: ROSEMARY FADOOL, DO
  • Facility Address: 15515 N REEMS RD, #101
    SURPRISE, AZ
    ZIP 85374
  • Facility Phone: 623 238-0048
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ROSEMARY FADOOL
  • NPI Number: 1477546273
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 03D2003655
LAB Type Physician Office
Facility Name ROSEMARY FADOOL, DO
Street 15515 N REEMS RD, #101
City SURPRISE
State AZ
ZIP 85374
Phone 623 238-0048
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 2/16/2024
Certificate Expiration Date 2/15/2026
Facility Type Physician Office
Lab Director ROSEMARY FADOOL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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