03D2233344 CLIA NUMBER - KATHLEEN JORDAN PC

Laboratory Demographics

  • CLIA Code: 03D2233344
  • Facility Name: KATHLEEN JORDAN PC
  • Facility Address: 15051 N KIERLAND BLVD #200
    SCOTTSDALE, AZ
    ZIP 85254
  • Facility Phone: 646 989-3775
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: REBECCA REILLY
  • NPI Number: 1366033656
  • Taxonomy: 1041C0700X - Social Worker

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CLIA Record

Field Name Field Value
CLIA Number 03D2233344
LAB Type Physician Office
Facility Name KATHLEEN JORDAN PC
Street 15051 N KIERLAND BLVD #200
City SCOTTSDALE
State AZ
ZIP 85254
Phone 646 989-3775
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/13/2024
Certificate Expiration Date 3/12/2026
Facility Type Physician Office
Lab Director REBECCA REILLY

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