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03D2079238 CLIA NUMBER - ARIZONA RETINA AND VITREOUS RESEARCH LLC

Laboratory Demographics

CLIA Number: 03D2079238

Facility Name: ARIZONA RETINA AND VITREOUS RESEARCH LLC

Facility Address:
3840 N 16TH ST
PHOENIX, AZ
ZIP 85016
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Facility Phone Number: 602 232-6066

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1174852388

Taxonomy: 207W00000X - Ophthalmology
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

CLIA Record

Field Name Field Value
CLIA Number 03D2079238
LAB Type Physician Office
Facility Name ARIZONA RETINA AND VITREOUS RESEARCH LLC
Street 3840 N 16TH ST
City PHOENIX
State AZ
ZIP 85016
Phone 602 232-6066
CertificateType 4
CertificateEffectiveDate 6/12/2022
CertificateExpirationDate 6/11/2024
FacilityType Waiver

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