03D2096968 CLIA NUMBER - GRAYHAWK EYE CENTER, PLLC

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Laboratory Demographics

CLIA Number: 03D2096968

Facility Name: GRAYHAWK EYE CENTER, PLLC

Facility Address:
20201 N SCOTTSDALE HEALTHCARE DR, STE 220
SCOTTSDALE, AZ
ZIP 85255
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Facility Phone Number: (480) 419-3937

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1851572069

Taxonomy: 305R00000X - Preferred Provider Organization
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

CLIA Record

Field Name	Field Value
CLIA Number	03D2096968
LAB Type	PHYSICIAN OFFICE
Facility Name	GRAYHAWK EYE CENTER, PLLC
Street	20201 N SCOTTSDALE HEALTHCARE DR, STE 220
City	SCOTTSDALE
State	AZ
ZIP	85255
Phone	(480) 419-3937

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This page was last updated on: 5/11/2023