03D2228781 CLIA NUMBER - MOMDOC

Laboratory Demographics

  • CLIA Code: 03D2228781
  • Facility Name: MOMDOC
  • Facility Address: 5171 CUB LAKE RD STE 340 BLDG C
    SHOW LOW, AZ
    ZIP 85901
  • Facility Phone: 480 821-3600
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: SCOTT PARTRIDGE
  • NPI Number: 1437565876
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 03D2228781
LAB Type Physician Office
Facility Name MOMDOC
Street 5171 CUB LAKE RD STE 340 BLDG C
City SHOW LOW
State AZ
ZIP 85901
Phone 480 821-3600
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 6/30/2025
Certificate Expiration Date 6/29/2027
Facility Type Physician Office
Lab Director SCOTT PARTRIDGE

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