WATERFORD DX LLC
NPI 1679337802
Clinical Medical Laboratory in Glendale, AZ

Active since February 08, 2024CLIA 03D2312110 · Accreditation
6830 N 55TH AVE STE 100, GLENDALE, AZ 85301(602) 774-2097 Get Directions Write a Review

NPPES record last updated: December 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 26, 2024, Feb 8, 2024 (2 updates tracked since 2024).

About Waterford Dx Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WATERFORD DX LLC (NPI 1679337802) is a healthcare organization registered as a clinical medical laboratory in Glendale, Arizona and active in the NPI registry since February 2024. The organization holds an CLIA Accreditation certificate valid through September 9, 2027 and lists Frank Affinito, Owner, as its authorized official.

NPPES Registry Identity

NPI1679337802
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameWATERFORD DX LLC
Location Address6830 N 55TH AVE STE 100Glendale, AZ 85301-3304
Mailing Address6830 N 55th Ave Ste 100Glendale, AZ 85301-3304 · (602) 774-2097
Organization SubpartNo
Authorized OfficialFrank AffinitoOwner · (310) 503-9177
Enumeration DateFebruary 8, 2024
Last NPPES UpdateDecember 26, 20242 updates tracked since enumeration
NPPES CertifiedDecember 26, 2024
NPI 1679337802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
6830 N 55TH AVE STE 100, Glendale, AZ 85301

Accepted Insurance

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 Accreditation 03D2312110

Waterford Dx LLC · Glendale, AZ
Active · expires Sep 9, 2027
CLIA Number03D2312110
Laboratory TypeIndependent
Certificate Effective DateSeptember 10, 2025
Certificate Expiration DateSeptember 9, 2027
Laboratory DirectorDr. Irwin S. Fox
Laboratory Phone(480) 272-0831
Laboratory LocationWaterford Dx LLC6830 N 55th Ave Ste 100, Glendale, AZ 85301
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 Waterford Dx LLC's NPI number?

The NPI number for Waterford Dx LLC is 1679337802. It was assigned to this organization in the NPPES registry on February 8, 2024.

Where is Waterford Dx LLC located?

Waterford Dx LLC is located at 6830 N 55th Ave Ste 100, Glendale, AZ 85301. The listed phone number is (602) 774-2097.

What is Waterford Dx LLC's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Waterford Dx LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 03D2312110) is associated with this NPI, valid through September 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Waterford Dx LLC accept?

Health plans from Blue Cross Blue Shield of Arizona and Molina Healthcare list Waterford Dx LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Waterford Dx LLC was last updated on December 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.