03D2106437 CLIA NUMBER - JEWISH FAMILY & CHILDREN'S SERVICES MICHAEL R ZENT HEALTH CLINIC

Laboratory Demographics

  • CLIA Code: 03D2106437
  • Facility Name: JEWISH FAMILY & CHILDREN'S SERVICES MICHAEL R ZENT HEALTH CLINIC
  • Facility Address: 3001 N 33RD AVE
    PHOENIX, AZ
    ZIP 85017
  • Facility Phone: 602 353-0703
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DEAYRIE EVANS
  • NPI Number: 1730242389
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 03D2106437
LAB Type Practitioner Other
Facility Name JEWISH FAMILY & CHILDREN'S SERVICES MICHAEL R ZENT HEALTH CLINIC
Street 3001 N 33RD AVE
City PHOENIX
State AZ
ZIP 85017
Phone 602 353-0703
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2024
Certificate Expiration Date 8/14/2026
Facility Type Practitioner Other
Lab Director DEAYRIE EVANS

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