03D2171097 CLIA NUMBER - WILDFLOWER PRIMARY CARE & WELLNESS

Laboratory Demographics

  • CLIA Code: 03D2171097
  • Facility Name: WILDFLOWER PRIMARY CARE & WELLNESS
  • Facility Address: 6730 E MCDOWELL RD STE 139
    SCOTTSDALE, AZ
    ZIP 85257
  • Facility Phone: 480 530-0230
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: JANINE ALTOBELLI
  • NPI Number: 1457917809
  • Taxonomy: 207QA0505X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D2171097
LAB Type Practitioner Other
Facility Name WILDFLOWER PRIMARY CARE & WELLNESS
Street 6730 E MCDOWELL RD STE 139
City SCOTTSDALE
State AZ
ZIP 85257
Phone 480 530-0230
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/26/2023
Certificate Expiration Date 8/25/2025
Facility Type Practitioner Other
Lab Director JANINE ALTOBELLI

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This page was last updated on: 3/20/2025