AZ WELLNESS CLINIC LLC
NPI 1619436292
Family Medicine in Glendale, AZ
About Az Wellness Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AZ WELLNESS CLINIC LLC (NPI 1619436292) is a healthcare organization registered as a family medicine in Glendale, Arizona and active in the NPI registry since March 2019. The organization holds a CLIA Waiver certificate valid through June 4, 2028 and lists Liban Almaguer, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 03D2305745
Az Wellness Clinic · Phoenix, AZOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Az Wellness Clinic LLC's NPI number?
The NPI number for Az Wellness Clinic LLC is 1619436292. It was assigned to this organization in the NPPES registry on March 13, 2019.
Where is Az Wellness Clinic LLC located?
Az Wellness Clinic LLC is located at 6114 N 59th Ave Ste 4, Glendale, AZ 85301. The listed phone number is (623) 937-8643.
What is Az Wellness Clinic LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Does Az Wellness Clinic LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 03D2305745) is associated with this NPI, valid through June 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Az Wellness Clinic LLC was last updated on March 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Az Wellness Clinic Llc · NPI 1619436292
Family Medicine organization in Glendale, Arizona. Organization record, active in the CMS NPPES registry since March 13, 2019.
## Identity
- **NPI:** 1619436292 (Entity type: Organization)
- **Enumerated:** March 13, 2019
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Liban Almaguer, OWNER
## Practice location
- **Address:** 6114 N 59TH AVE STE 4, Glendale, AZ 85301-7769
- **Phone:** (623) 937-8643
## Record status
- **NPPES last updated:** March 13, 2019
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1619436292) · Data from the CMS NPPES public registry.