03D2101167 CLIA NUMBER - NEURO INFUSION CENTER - OUTPATIENT

Laboratory Demographics

  • CLIA Code: 03D2101167
  • Facility Name: NEURO INFUSION CENTER - OUTPATIENT
  • Facility Address: 240 W THOMAS RD, STE 401
    PHOENIX, AZ
    ZIP 85013
  • Facility Phone: 602 406-2093
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: SHAFEEQ S. LADHA

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CLIA Record

Field Name Field Value
CLIA Number 03D2101167
LAB Type Community Clinic
Facility Name NEURO INFUSION CENTER - OUTPATIENT
Street 240 W THOMAS RD, STE 401
City PHOENIX
State AZ
ZIP 85013
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 11/17/2023
Certificate Expiration Date 11/16/2025
Facility Type Community Clinic
Lab Director SHAFEEQ S. LADHA

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