03D2287375 CLIA NUMBER - AZ FEMALE UROLOGIST

Laboratory Demographics

CLIA Number: 03D2287375

Facility Name: AZ FEMALE UROLOGIST

Facility Address:
10617 N HAYDEN RD
SCOTTSDALE, AZ
ZIP 85260
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Facility Phone Number: 480 483-9011

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1639885304

Taxonomy: 208800000X - Urology
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

CLIA Record

Field Name	Field Value
CLIA Number	03D2287375
LAB Type	Physician Office
Facility Name	AZ FEMALE UROLOGIST
Street	10617 N HAYDEN RD
City	SCOTTSDALE
State	AZ
ZIP	85260
Phone	480 483-9011
CertificateType	4
CertificateEffectiveDate	8/14/2023
CertificateExpirationDate	8/13/2025
FacilityType	Waiver

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