03D2310404 CLIA NUMBER - SPECTRUM DIALYSIS AZ, INC

Laboratory Demographics

  • CLIA Code: 03D2310404
  • Facility Name: SPECTRUM DIALYSIS AZ, INC
  • Facility Address: 10250 N 92ND ST STE 118
    SCOTTSDALE, AZ
    ZIP 85258
  • Facility Phone: 480 320-1203
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ARVIND DURVASAN
  • NPI Number: 1710378518
  • Taxonomy: 323P00000X - Psychiatric Residential Treatment Facility

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CLIA Record

Field Name Field Value
CLIA Number 03D2310404
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name SPECTRUM DIALYSIS AZ, INC
Street 10250 N 92ND ST STE 118
City SCOTTSDALE
State AZ
ZIP 85258
Phone 480 320-1203
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/3/2024
Certificate Expiration Date 9/2/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ARVIND DURVASAN

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