03D2308801 CLIA NUMBER - CARDIOVASCULAR CONSULTANTS, LTD

Laboratory Demographics

  • CLIA Code: 03D2308801
  • Facility Name: CARDIOVASCULAR CONSULTANTS, LTD
  • Facility Address: 9100 N 2ND ST STE 321
    PHOENIX, AZ
    ZIP 85020
  • Facility Phone: 602 867-8644
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LOU IVANOVIC
  • NPI Number: 1215509989
  • Taxonomy: 2085R0204X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 03D2308801
LAB Type Physician Office
Facility Name CARDIOVASCULAR CONSULTANTS, LTD
Street 9100 N 2ND ST STE 321
City PHOENIX
State AZ
ZIP 85020
Phone 602 867-8644
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/5/2024
Certificate Expiration Date 8/4/2026
Facility Type Physician Office
Lab Director LOU IVANOVIC

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