Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Waterford Dx LLC

Organization Clinical Medical Laboratory · NPI 1679337802

Waterford Dx LLC is a Clinical Medical Laboratory in Glendale, Arizona. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6830 N 55th Ave Ste 100
Glendale, AZ 85301-3304
Phone: (602) 774-2097
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X

Record details

NPI number1679337802
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Frank Affinito — Owner · (310) 503-9177
NPI enumeratedFebruary 8, 2024
Last updated in NPPESDecember 26, 2024
Certification dateDecember 26, 2024
Mailing address6830 N 55th Ave Ste 100, Glendale, AZ 85301-3304

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