03D2065355 CLIA NUMBER - PHI HEALTH, LLC

Laboratory Demographics

  • CLIA Code: 03D2065355
  • Facility Name: PHI HEALTH, LLC
  • Facility Address: 1033 W ROOSEVELT WAY STE 500
    TEMPE, AZ
    ZIP 85288
  • Facility Phone: 480 302-0196
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: SHANNA BUTLER
  • NPI Number: 1326094020
  • Taxonomy: 3416A0800X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 03D2065355
LAB Type Ambulance
Facility Name PHI HEALTH, LLC
Street 1033 W ROOSEVELT WAY STE 500
City TEMPE
State AZ
ZIP 85288
Phone 480 302-0196
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/9/2025
Certificate Expiration Date 9/8/2027
Facility Type Ambulance
Lab Director SHANNA BUTLER

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