03D2113129 CLIA NUMBER - MAYO CLINIC PRIMARY CARE - PHOENIX

Laboratory Demographics

  • CLIA Code: 03D2113129
  • Facility Name: MAYO CLINIC PRIMARY CARE - PHOENIX
  • Facility Address: 5701 E MAYO BLVD
    PHOENIX, AZ
    ZIP 85054
  • Facility Phone: 480 301-4002
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. QUN LU
  • NPI Number: 1083079099
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 03D2113129
LAB Type Physician Office
Facility Name MAYO CLINIC PRIMARY CARE - PHOENIX
Street 5701 E MAYO BLVD
City PHOENIX
State AZ
ZIP 85054
Phone 480 301-4002
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 9/20/2023
Certificate Expiration Date 9/19/2025
Facility Type Physician Office
Lab Director DR. QUN LU

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