03D2098370 CLIA NUMBER - PHOENICIAN NEUROLOGICAL & PAIN INSTITUTE

Laboratory Demographics

  • CLIA Code: 03D2098370
  • Facility Name: PHOENICIAN NEUROLOGICAL & PAIN INSTITUTE
  • Facility Address: 2226 W NORTHERN AVE #C212
    PHOENIX, AZ
    ZIP 85021
  • Facility Phone: 480 776-2982
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRANDON C. WOODS
  • NPI Number: 1972113546
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D2098370
LAB Type Physician Office
Facility Name PHOENICIAN NEUROLOGICAL & PAIN INSTITUTE
Street 2226 W NORTHERN AVE #C212
City PHOENIX
State AZ
ZIP 85021
Phone 480 776-2982
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/6/2023
Certificate Expiration Date 7/5/2025
Facility Type Physician Office
Lab Director BRANDON C. WOODS

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This page was last updated on: 3/20/2025