03D2316363 CLIA NUMBER - RYCO WELLNESS LLC

Laboratory Demographics

  • CLIA Code: 03D2316363
  • Facility Name: RYCO WELLNESS LLC
  • Facility Address: 21803 N SCOTTSDALE RD UNIT 200
    SCOTTSDALE, AZ
    ZIP 85255
  • Facility Phone: 602 805-2220
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: KENDRA L. CARTER
  • NPI Number: 1902612062
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D2316363
LAB Type Practitioner Other
Facility Name RYCO WELLNESS LLC
Street 21803 N SCOTTSDALE RD UNIT 200
City SCOTTSDALE
State AZ
ZIP 85255
Phone 602 805-2220
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/3/2025
Certificate Expiration Date 1/2/2027
Facility Type Practitioner Other
Lab Director KENDRA L. CARTER

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