03D2325542 CLIA NUMBER - AKDHC BILTMORE

Laboratory Demographics

  • CLIA Code: 03D2325542
  • Facility Name: AKDHC BILTMORE
  • Facility Address: 4620 N 16TH ST STE 200
    PHOENIX, AZ
    ZIP 85016
  • Facility Phone: 602 997-0484
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: IBRAHIM QAQISH
  • NPI Number: 1487140539
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D2325542
LAB Type Physician Office
Facility Name AKDHC BILTMORE
Street 4620 N 16TH ST STE 200
City PHOENIX
State AZ
ZIP 85016
Phone 602 997-0484
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/16/2025
Certificate Expiration Date 6/15/2027
Facility Type Physician Office
Lab Director IBRAHIM QAQISH

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