03D2040652 CLIA NUMBER - ELIZABETH J MCCONNELL MD PLC

Laboratory Demographics

  • CLIA Code: 03D2040652
  • Facility Name: ELIZABETH J MCCONNELL MD PLC
  • Facility Address: 20325 N 51ST AVE, STE 102
    GLENDALE, AZ
    ZIP 85308
  • Facility Phone: 602 253-4271
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ELIZABETH J. MCCONNELL
  • NPI Number: 1952393761
  • Taxonomy: 208C00000X - Colon & Rectal Surgery

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CLIA Record

Field Name Field Value
CLIA Number 03D2040652
LAB Type Physician Office
Facility Name ELIZABETH J MCCONNELL MD PLC
Street 20325 N 51ST AVE, STE 102
City GLENDALE
State AZ
ZIP 85308
Phone 602 253-4271
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/7/2024
Certificate Expiration Date 5/6/2026
Facility Type Physician Office
Lab Director ELIZABETH J. MCCONNELL

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