03D2146332 CLIA NUMBER - RISING PHOENIX WELLNESS SERVICES, LLC

Laboratory Demographics

  • CLIA Code: 03D2146332
  • Facility Name: RISING PHOENIX WELLNESS SERVICES, LLC
  • Facility Address: 21803 N SCOTTSDALE RD, BLDG A, UNIT 110
    SCOTTSDALE, AZ
    ZIP 85255
  • Facility Phone: 480 215-3089
  • Facility Type: Other - CDIOP/MAT
  • Facility Type: Waiver
  • Lab Director: ERIN L. STANFIELD
  • NPI Number: 1700374774
  • Taxonomy: 2084P0802X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 03D2146332
LAB Type Other - CDIOP/MAT
Facility Name RISING PHOENIX WELLNESS SERVICES, LLC
Street 21803 N SCOTTSDALE RD, BLDG A, UNIT 110
City SCOTTSDALE
State AZ
ZIP 85255
Phone 480 215-3089
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/27/2024
Certificate Expiration Date 3/26/2026
Facility Type Other - CDIOP/MAT
Lab Director ERIN L. STANFIELD

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