03D2126954 CLIA NUMBER - JEI HOLDINGS LLC DBA TREE OF LIFE MEDICAL

Laboratory Demographics

  • CLIA Code: 03D2126954
  • Facility Name: JEI HOLDINGS LLC DBA TREE OF LIFE MEDICAL
  • Facility Address: 9377 E BELL RD SUITE 313
    SCOTTSDALE, AZ
    ZIP 85260
  • Facility Phone: 480 734-7515
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JENNIFER IACOVELLI
  • NPI Number: 1497295836
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 03D2126954
LAB Type Physician Office
Facility Name JEI HOLDINGS LLC DBA TREE OF LIFE MEDICAL
Street 9377 E BELL RD SUITE 313
City SCOTTSDALE
State AZ
ZIP 85260
Phone 480 734-7515
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/7/2025
Certificate Expiration Date 3/6/2027
Facility Type Physician Office
Lab Director JENNIFER IACOVELLI

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