03D2151280 CLIA NUMBER - CIRCLE THE CITY DOWNTOWN RESPITE CENTER

Laboratory Demographics

  • CLIA Code: 03D2151280
  • Facility Name: CIRCLE THE CITY DOWNTOWN RESPITE CENTER
  • Facility Address: 210 S 12TH AVE
    PHOENIX, AZ
    ZIP 85007
  • Facility Phone: 602 776-0776
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: WILLIAM A. ELLERT
  • NPI Number: 1346755295
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2151280
LAB Type Federally Qualified Health Center
Facility Name CIRCLE THE CITY DOWNTOWN RESPITE CENTER
Street 210 S 12TH AVE
City PHOENIX
State AZ
ZIP 85007
Phone 602 776-0776
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/17/2024
Certificate Expiration Date 7/16/2026
Facility Type Federally Qualified Health Center
Lab Director WILLIAM A. ELLERT

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