03D2166704 CLIA NUMBER - SCOTTSDALE PERSONAL OBGYN

Laboratory Demographics

CLIA Number: 03D2166704

Facility Name: SCOTTSDALE PERSONAL OBGYN

Facility Address:
14220 N NORTHSIGHT BLVD, SUITE 150
SCOTTSDALE, AZ
ZIP 85260
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Facility Phone Number: 480 794-1000

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1952839979

Taxonomy: 261QH0100X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	03D2166704
LAB Type	Physician Office
Facility Name	SCOTTSDALE PERSONAL OBGYN
Street	14220 N NORTHSIGHT BLVD, SUITE 150
City	SCOTTSDALE
State	AZ
ZIP	85260
Phone	480 794-1000
CertificateType	3
CertificateEffectiveDate	5/23/2023
CertificateExpirationDate	5/22/2025
FacilityType	PPMP

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This page was last updated on: 4/23/2024