03D2275272 CLIA NUMBER - SOUTHWEST GASTROENTEROLOGY

Laboratory Demographics

  • CLIA Code: 03D2275272
  • Facility Name: SOUTHWEST GASTROENTEROLOGY
  • Facility Address: 3400 N DYSART RD STE G-127
    AVONDALE, AZ
    ZIP 85392
  • Facility Phone: 623 322-0323
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: LAURA E. MICHAEL
  • NPI Number: 1033846704
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2275272
LAB Type Physician Office
Facility Name SOUTHWEST GASTROENTEROLOGY
Street 3400 N DYSART RD STE G-127
City AVONDALE
State AZ
ZIP 85392
Phone 623 322-0323
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 3/17/2025
Certificate Expiration Date 3/16/2027
Facility Type Physician Office
Lab Director LAURA E. MICHAEL

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This page was last updated on: 6/4/2025