03D2127233 CLIA NUMBER - GENETIC TECHNOLOGICAL INNOVATIONS, LLC

Laboratory Demographics

  • CLIA Code: 03D2127233
  • Facility Name: GENETIC TECHNOLOGICAL INNOVATIONS, LLC
  • Facility Address: 13402 N SCOTTSDALE RD SUITE 190
    SCOTTSDALE, AZ
    ZIP 85254
  • Facility Phone: 888 980-7477
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. MARK E. JOHNSON
  • NPI Number: 1265854855
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 03D2127233
LAB Type Independent
Facility Name GENETIC TECHNOLOGICAL INNOVATIONS, LLC
Street 13402 N SCOTTSDALE RD SUITE 190
City SCOTTSDALE
State AZ
ZIP 85254
Phone 888 980-7477
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 6/17/2024
Certificate Expiration Date 6/16/2026
Facility Type Independent
Lab Director DR. MARK E. JOHNSON

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