03D2273732 CLIA NUMBER - PHOENIX MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 03D2273732
  • Facility Name: PHOENIX MEDICAL GROUP
  • Facility Address: 9145 W THUNDERBIRD RD STE 101
    PEORIA, AZ
    ZIP 85381
  • Facility Phone: 623 815-7800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT R. ORR
  • NPI Number: 1124251699
  • Taxonomy: 261QS1200X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 03D2273732
LAB Type Physician Office
Facility Name PHOENIX MEDICAL GROUP
Street 9145 W THUNDERBIRD RD STE 101
City PEORIA
State AZ
ZIP 85381
Phone 623 815-7800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/19/2024
Certificate Expiration Date 12/18/2026
Facility Type Physician Office
Lab Director ROBERT R. ORR

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