03D2157588 CLIA NUMBER - NURSE PRACTITIONER CONSULTANTS (SAGEWOOD)

Laboratory Demographics

  • CLIA Code: 03D2157588
  • Facility Name: NURSE PRACTITIONER CONSULTANTS (SAGEWOOD)
  • Facility Address: 4555 E MAYO BLVD
    PHOENIX, AZ
    ZIP 85050
  • Facility Phone: 480 384-5816
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LUKAS J. SCHULTZ
  • NPI Number: 1053826354
  • Taxonomy: 207RG0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D2157588
LAB Type Physician Office
Facility Name NURSE PRACTITIONER CONSULTANTS (SAGEWOOD)
Street 4555 E MAYO BLVD
City PHOENIX
State AZ
ZIP 85050
Phone 480 384-5816
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/8/2024
Certificate Expiration Date 11/7/2026
Facility Type Physician Office
Lab Director LUKAS J. SCHULTZ

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