03D2258029 CLIA NUMBER - 91ST AVENUE OPERATIONS, LLC DBA DIAMONDBACK HEALTHCARE CTR

Laboratory Demographics

  • CLIA Code: 03D2258029
  • Facility Name: 91ST AVENUE OPERATIONS, LLC DBA DIAMONDBACK HEALTHCARE CTR
  • Facility Address: 3000 N 91ST AVE
    PHOENIX, AZ
    ZIP 85037
  • Facility Phone: 480 203-9562
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Accreditation
  • Lab Director: DR. WILLIAM NASSOUR
  • NPI Number: 1659038719
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 03D2258029
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name 91ST AVENUE OPERATIONS, LLC DBA DIAMONDBACK HEALTHCARE CTR
Street 3000 N 91ST AVE
City PHOENIX
State AZ
ZIP 85037
Phone 480 203-9562
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 2/6/2024
Certificate Expiration Date 2/5/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. WILLIAM NASSOUR

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