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03D2300053 CLIA NUMBER - HONORHEALTH RESEARCH AND INNOVATION INSTITUTE

Laboratory Demographics

CLIA Number: 03D2300053

Facility Name: HONORHEALTH RESEARCH AND INNOVATION INSTITUTE

Facility Address:
10510 N 92ND ST 1ST AND 2ND FLOOR
SCOTTSDALE, AZ
ZIP 85258
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Facility Phone Number: 480 323-1350

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1407050917

Taxonomy: 207RH0003X - Internal Medicine
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

CLIA Record

Field Name Field Value
CLIA Number 03D2300053
LAB Type Physician Office
Facility Name HONORHEALTH RESEARCH AND INNOVATION INSTITUTE
Street 10510 N 92ND ST 1ST AND 2ND FLOOR
City SCOTTSDALE
State AZ
ZIP 85258
Phone 480 323-1350
CertificateType 4
CertificateEffectiveDate 3/4/2024
CertificateExpirationDate 3/3/2026
FacilityType Waiver

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