03D2244108 CLIA NUMBER - HONORHEALTH CANCER CARE

Laboratory Demographics

CLIA Number: 03D2244108

Facility Name: HONORHEALTH CANCER CARE

Facility Address:
10197 N 92ND ST STE 101
SCOTTSDALE, AZ
ZIP 85258
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Facility Phone Number: 480 993-2950

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1679941140

Taxonomy: 164W00000X - Licensed Practical Nurse
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

CLIA Record

Field Name	Field Value
CLIA Number	03D2244108
LAB Type	Physician Office
Facility Name	HONORHEALTH CANCER CARE
Street	10197 N 92ND ST STE 101
City	SCOTTSDALE
State	AZ
ZIP	85258
Phone	480 993-2950
CertificateType	4
CertificateEffectiveDate	11/29/2023
CertificateExpirationDate	11/28/2025
FacilityType	Waiver

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