03D2152764 CLIA NUMBER - SPECTRUM MEDICAL CARE CENTER

Laboratory Demographics

  • CLIA Code: 03D2152764
  • Facility Name: SPECTRUM MEDICAL CARE CENTER
  • Facility Address: 52 E MONTEREY WAY
    PHOENIX, AZ
    ZIP 85012
  • Facility Phone: 602 604-9500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: THANES J. VANIG
  • NPI Number: 1861698722
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D2152764
LAB Type Physician Office
Facility Name SPECTRUM MEDICAL CARE CENTER
Street 52 E MONTEREY WAY
City PHOENIX
State AZ
ZIP 85012
Phone 602 604-9500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/16/2024
Certificate Expiration Date 8/15/2026
Facility Type Physician Office
Lab Director THANES J. VANIG

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