03D2098564 CLIA NUMBER - ARIZONA CENTER FOR CANCER CARE

Laboratory Demographics

  • CLIA Code: 03D2098564
  • Facility Name: ARIZONA CENTER FOR CANCER CARE
  • Facility Address: 14155 N 83RD AVE, #127
    PEORIA, AZ
    ZIP 85381
  • Facility Phone: 623 773-2873
  • Facility Type: Other - RADIATION ONCOLOGY
  • Facility Type: Waiver
  • Lab Director: TERRY LEE
  • NPI Number: 1366765703
  • Taxonomy: 2085R0001X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 03D2098564
LAB Type Other - RADIATION ONCOLOGY
Facility Name ARIZONA CENTER FOR CANCER CARE
Street 14155 N 83RD AVE, #127
City PEORIA
State AZ
ZIP 85381
Phone 623 773-2873
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/9/2023
Certificate Expiration Date 7/8/2025
Facility Type Other - RADIATION ONCOLOGY
Lab Director TERRY LEE

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