03D2096244 CLIA NUMBER - DIGNITY HEALTH ARIZONA GENERAL HOSPITAL-GLENDALE

Laboratory Demographics

  • CLIA Code: 03D2096244
  • Facility Name: DIGNITY HEALTH ARIZONA GENERAL HOSPITAL-GLENDALE
  • Facility Address: 5171 W OLIVE AVE
    GLENDALE, AZ
    ZIP 85302
  • Facility Phone: 623 584-5100
  • Facility Type: Other - FREE STANDING ER
  • Facility Type: Accreditation
  • Lab Director: DR. JON VASQUEZ
  • NPI Number: 1275084030
  • Taxonomy: 261QE0002X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2096244
LAB Type Other - FREE STANDING ER
Facility Name DIGNITY HEALTH ARIZONA GENERAL HOSPITAL-GLENDALE
Street 5171 W OLIVE AVE
City GLENDALE
State AZ
ZIP 85302
Phone 623 584-5100
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 4/21/2024
Certificate Expiration Date 4/20/2026
Facility Type Other - FREE STANDING ER
Lab Director DR. JON VASQUEZ

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