03D2259462 CLIA NUMBER - SCOTTSDALE SINUS AND ALLERGY OUTPATIENT TREATMENT CENTER

Laboratory Demographics

CLIA Number: 03D2259462

Facility Name: SCOTTSDALE SINUS AND ALLERGY OUTPATIENT TREATMENT CENTER

Facility Address:
7301 E 2ND ST STE 104
SCOTTSDALE, AZ
ZIP 85251
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Facility Phone Number: 720 480-8100

Facility Type: Other - OTC

Certificate Type: Waiver

NPI Number: 1407823610

Taxonomy: 2085R0202X - Radiology
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

CLIA Record

Field Name	Field Value
CLIA Number	03D2259462
LAB Type	Other - OTC
Facility Name	SCOTTSDALE SINUS AND ALLERGY OUTPATIENT TREATMENT CENTER
Street	7301 E 2ND ST STE 104
City	SCOTTSDALE
State	AZ
ZIP	85251
Phone	720 480-8100
CertificateType	4
CertificateEffectiveDate	5/5/2022
CertificateExpirationDate	5/4/2024
FacilityType	Waiver

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