03D2091509 CLIA NUMBER - WOOTEN HEALTHCARE GROUP

Laboratory Demographics

  • CLIA Code: 03D2091509
  • Facility Name: WOOTEN HEALTHCARE GROUP
  • Facility Address: 515 W BUCKEYE RD, STE 306
    PHOENIX, AZ
    ZIP 85003
  • Facility Phone: 602 374-4937
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DUANE M. WOOTEN
  • NPI Number: 1083853147
  • Taxonomy: 103TC0700X - Psychologist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 03D2091509
LAB Type Physician Office
Facility Name WOOTEN HEALTHCARE GROUP
Street 515 W BUCKEYE RD, STE 306
City PHOENIX
State AZ
ZIP 85003
Phone 602 374-4937
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/13/2025
Certificate Expiration Date 2/12/2027
Facility Type Physician Office
Lab Director DUANE M. WOOTEN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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