03D2257117 CLIA NUMBER - CAMELBACK SMILES DENTISTRY

Laboratory Demographics

  • CLIA Code: 03D2257117
  • Facility Name: CAMELBACK SMILES DENTISTRY
  • Facility Address: 742 E GLENDALE AVE STE 118
    PHOENIX, AZ
    ZIP 85020
  • Facility Phone: 602 491-0887
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: LINDSAY R. FELIEN
  • NPI Number: 1316300783
  • Taxonomy: 122300000X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 03D2257117
LAB Type Practitioner Other
Facility Name CAMELBACK SMILES DENTISTRY
Street 742 E GLENDALE AVE STE 118
City PHOENIX
State AZ
ZIP 85020
Phone 602 491-0887
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/31/2024
Certificate Expiration Date 3/30/2026
Facility Type Practitioner Other
Lab Director LINDSAY R. FELIEN

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