03D2309018 CLIA NUMBER - ARIZONA UROLOGY

Laboratory Demographics

  • CLIA Code: 03D2309018
  • Facility Name: ARIZONA UROLOGY
  • Facility Address: 20325 N 51ST AVE STE 170
    GLENDALE, AZ
    ZIP 85308
  • Facility Phone: 623 512-4390
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PANKAJ M. JAIN
  • NPI Number: 1770025439
  • Taxonomy: 208800000X - Urology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 03D2309018
LAB Type Physician Office
Facility Name ARIZONA UROLOGY
Street 20325 N 51ST AVE STE 170
City GLENDALE
State AZ
ZIP 85308
Phone 623 512-4390
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/8/2024
Certificate Expiration Date 8/7/2026
Facility Type Physician Office
Lab Director PANKAJ M. JAIN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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