03D2082644 CLIA NUMBER - IRONWOOD PHYSICIANS, PC

Laboratory Demographics

  • CLIA Code: 03D2082644
  • Facility Name: IRONWOOD PHYSICIANS, PC
  • Facility Address: 5810 W BEVERLY LANE, STE 100
    GLENDALE, AZ
    ZIP 85306
  • Facility Phone: 623 312-3000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSEPH NABONG
  • NPI Number: 1073202545
  • Taxonomy: 207RH0003X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D2082644
LAB Type Physician Office
Facility Name IRONWOOD PHYSICIANS, PC
Street 5810 W BEVERLY LANE, STE 100
City GLENDALE
State AZ
ZIP 85306
Phone 623 312-3000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/19/2024
Certificate Expiration Date 8/18/2026
Facility Type Physician Office
Lab Director JOSEPH NABONG

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