Phoenix Laboratory
4310 E. Cotton Center Boulevard
Suite 120
Phoenix, AZ 85040
T 602 254 6620
F 602 254 7340
Toll Free: 800 645 6626
NPI # 1801851159
Taxonomy Code: 291UOOOOOX

Licenses, Accreditations, Certifications and Inspections (pdf format)	License/Permit #	Expires
Federal Registration/Certification
Centers for Medicare and Medicaid Services	03D0856238	6/29/09
Licenses
State of California	COS800121	6/29/09
State of Florida	800001990	5/23/10
State of New York	4904 03D0856238	6/30/09
State of Pennsylvania	027100	8/15/09
State of Maryland	665	6/30/09
State of Rhode Island	LCO00413	12/30/08
Accreditations
The College of American Pathologists (CAP)	4505601	7/23/10

*Some documents may show expiration dates that are not current. This is usually due to delays by the federal, state or private agency responsible for the inspection, application review and issuance of these licenses or certificates. All licenses or certificates remain current while inspections, license renewal applications, and/or other review processes are taking place toward the issuance of a new license. Please call 505 438 2154 if you have licensure or certificate questions.