OrganizationActive
Arizona State Public Health Laboratory
NPI 1528180874 · Clinical Medical Laboratory · Phoenix, AZ
Provider details
- NPI number
- 1528180874
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Parent organization
- State of Arizona
- Organization subpart
- Yes
- Authorized official
- Victor Waddell, Bureau Chief(602) 364-0609
Specialties & taxonomies
Laboratories
Practice location
250 N 17th Ave
Phoenix, AZ 85007-3231
Phone: (602) 542-0897
Fax: (602) 542-0102
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 25046
Phoenix, AZ 85002-5046
Other names (DBA / former)
- Doing business as
- Adhs Newborn Screening Program
Registry dates
- Enumerated
- 2007-04-06
- Last updated
- 2021-06-11
- Certified
- 2021-06-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.