03D2113096 CLIA NUMBER - ARIZONA FOOT & ANKLE SPECIALISTS, LLC

Laboratory Demographics

  • CLIA Code: 03D2113096
  • Facility Name: ARIZONA FOOT & ANKLE SPECIALISTS, LLC
  • Facility Address: 2970 N LITCHFIELD RD STE 120
    GOODYEAR, AZ
    ZIP 85395
  • Facility Phone: 623 935-5780
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SAMUEL W. COX JR
  • NPI Number: 1639366412
  • Taxonomy: 213ES0103X - Podiatrist

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CLIA Record

Field Name Field Value
CLIA Number 03D2113096
LAB Type Physician Office
Facility Name ARIZONA FOOT & ANKLE SPECIALISTS, LLC
Street 2970 N LITCHFIELD RD STE 120
City GOODYEAR
State AZ
ZIP 85395
Phone 623 935-5780
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/16/2024
Certificate Expiration Date 5/15/2026
Facility Type Physician Office
Lab Director SAMUEL W. COX JR

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