03D2024481 CLIA NUMBER - SAGUARO DERMATOLOGY AHWATUKEE

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Laboratory Demographics

CLIA Number: 03D2024481

Facility Name: SAGUARO DERMATOLOGY AHWATUKEE

Facility Address:
4425 E AGAVE RD, STE 148
PHOENIX, AZ
ZIP 85044
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Facility Phone Number: 480 704-7546

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1972559086

Taxonomy: 207KA0200X - Allergy & Immunology
A physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	03D2024481
LAB Type	Physician Office
Facility Name	SAGUARO DERMATOLOGY AHWATUKEE
Street	4425 E AGAVE RD, STE 148
City	PHOENIX
State	AZ
ZIP	85044
Phone	480 704-7546
CertificateType	2
CertificateEffectiveDate	7/31/2022
CertificateExpirationDate	7/30/2024
FacilityType	Compliance

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This page was last updated on: 4/23/2024