03D2298273 CLIA NUMBER - MIND-BODY CONNECTIONS PLLC

Laboratory Demographics

  • CLIA Code: 03D2298273
  • Facility Name: MIND-BODY CONNECTIONS PLLC
  • Facility Address: 2227 W BASELINE RD STE 105
    TEMPE, AZ
    ZIP 85283
  • Facility Phone: 602 980-8703
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DOROTHY IGWE
  • NPI Number: 1962173252
  • Taxonomy: 363LP0808X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 03D2298273
LAB Type Practitioner Other
Facility Name MIND-BODY CONNECTIONS PLLC
Street 2227 W BASELINE RD STE 105
City TEMPE
State AZ
ZIP 85283
Phone 602 980-8703
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/31/2024
Certificate Expiration Date 1/30/2026
Facility Type Practitioner Other
Lab Director DOROTHY IGWE

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