03D2096975 CLIA NUMBER - DIGNITY HEALTH CANCER INSTITUTE

Laboratory Demographics

  • CLIA Code: 03D2096975
  • Facility Name: DIGNITY HEALTH CANCER INSTITUTE
  • Facility Address: 625 N 6TH ST
    PHOENIX, AZ
    ZIP 85004
  • Facility Phone: 602 406-2093
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: JENNIFER ESCHBACHER
  • NPI Number: 1952775298
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2096975
LAB Type Ancillary Testing Site in Health Care Center
Facility Name DIGNITY HEALTH CANCER INSTITUTE
Street 625 N 6TH ST
City PHOENIX
State AZ
ZIP 85004
Phone 602 406-2093
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/1/2024
Certificate Expiration Date 7/31/2026
Facility Type Ancillary Testing Site in Health Care Center
Lab Director JENNIFER ESCHBACHER

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