03D2106702 CLIA NUMBER - PHOENIX MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 03D2106702
  • Facility Name: PHOENIX MEDICAL GROUP
  • Facility Address: 9305 W THOMAS RD, STE 365
    PHOENIX, AZ
    ZIP 85037
  • Facility Phone: 623 815-7800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT R. ORR
  • NPI Number: 1063661023
  • Taxonomy: 261QS1200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2106702
LAB Type Physician Office
Facility Name PHOENIX MEDICAL GROUP
Street 9305 W THOMAS RD, STE 365
City PHOENIX
State AZ
ZIP 85037
Phone 623 815-7800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/28/2024
Certificate Expiration Date 8/27/2026
Facility Type Physician Office
Lab Director ROBERT R. ORR

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This page was last updated on: 9/29/2025