03D2173047 CLIA NUMBER - DIGNITY HEALTH MEDICAL GROUP HEAR AND VASCULAR CLINIC

Laboratory Demographics

  • CLIA Code: 03D2173047
  • Facility Name: DIGNITY HEALTH MEDICAL GROUP HEAR AND VASCULAR CLINIC
  • Facility Address: 500 W THOMAS RD, SUITE 750/850
    PHOENIX, AZ
    ZIP 85013
  • Facility Phone: 602 406-1150
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: NEZAR FALLUI
  • NPI Number: 1992131734
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 03D2173047
LAB Type Community Clinic
Facility Name DIGNITY HEALTH MEDICAL GROUP HEAR AND VASCULAR CLINIC
Street 500 W THOMAS RD, SUITE 750/850
City PHOENIX
State AZ
ZIP 85013
Phone 602 406-1150
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/4/2025
Certificate Expiration Date 10/3/2027
Facility Type Community Clinic
Lab Director NEZAR FALLUI

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