03D2111855 CLIA NUMBER - HONORHEALTH MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 03D2111855
  • Facility Name: HONORHEALTH MEDICAL GROUP
  • Facility Address: 1761 E WARNER RD STE 2
    TEMPE, AZ
    ZIP 85284
  • Facility Phone: 480 882-7390
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PAUL SIECKMANN
  • NPI Number: 1205450533
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D2111855
LAB Type Physician Office
Facility Name HONORHEALTH MEDICAL GROUP
Street 1761 E WARNER RD STE 2
City TEMPE
State AZ
ZIP 85284
Phone 480 882-7390
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/15/2024
Certificate Expiration Date 4/14/2026
Facility Type Physician Office
Lab Director PAUL SIECKMANN

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