03D2259472 CLIA NUMBER - CAMELBACK PHYSICIANS GROUP

Laboratory Demographics

  • CLIA Code: 03D2259472
  • Facility Name: CAMELBACK PHYSICIANS GROUP
  • Facility Address: 4527 N 16TH ST STE 201
    PHOENIX, AZ
    ZIP 85016
  • Facility Phone: 480 721-0443
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL VINES
  • NPI Number: 1477792216
  • Taxonomy: 111N00000X - Chiropractor

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 03D2259472
LAB Type Physician Office
Facility Name CAMELBACK PHYSICIANS GROUP
Street 4527 N 16TH ST STE 201
City PHOENIX
State AZ
ZIP 85016
Phone 480 721-0443
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/5/2024
Certificate Expiration Date 5/4/2026
Facility Type Physician Office
Lab Director MICHAEL VINES

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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