03D2102332 CLIA NUMBER - FOUNTAIN HILLS DIALYSIS

Laboratory Demographics

  • CLIA Code: 03D2102332
  • Facility Name: FOUNTAIN HILLS DIALYSIS
  • Facility Address: 13430 N SAGUARO BLVD
    FOUNTAIN HILLS, AZ
    ZIP 85268
  • Facility Phone: 480 816-5973
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DONN HOGAN
  • NPI Number: 1427434687
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2102332
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name FOUNTAIN HILLS DIALYSIS
Street 13430 N SAGUARO BLVD
City FOUNTAIN HILLS
State AZ
ZIP 85268
Phone 480 816-5973
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/21/2023
Certificate Expiration Date 9/20/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DONN HOGAN

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This page was last updated on: 6/4/2025