03D0994478 CLIA NUMBER - ARIZONA CENTER FOR HEMATOLOGY AND ONCOLOGY PLC DBA VALLEY UROLOGIC ASSOCIATES

Laboratory Demographics

  • CLIA Code: 03D0994478
  • Facility Name: ARIZONA CENTER FOR HEMATOLOGY AND ONCOLOGY PLC DBA VALLEY UROLOGIC ASSOCIATES
  • Facility Address: 13555 W MCDOWELL RD, #304
    GOODYEAR, AZ
    ZIP 85395
  • Facility Phone: 623 935-5522
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHAWN D. BLICK MD
  • NPI Number: 1073837209
  • Taxonomy: 207RH0003X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D0994478
LAB Type Physician Office
Facility Name ARIZONA CENTER FOR HEMATOLOGY AND ONCOLOGY PLC DBA VALLEY UROLOGIC ASSOCIATES
Street 13555 W MCDOWELL RD, #304
City GOODYEAR
State AZ
ZIP 85395
Phone 623 935-5522
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/14/2023
Certificate Expiration Date 12/13/2025
Facility Type Physician Office
Lab Director SHAWN D. BLICK MD

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This page was last updated on: 3/20/2025