03D0057643 CLIA NUMBER - EVERNORTH CARE GROUP-SUN CITY

Laboratory Demographics

CLIA Number: 03D0057643

Facility Name: EVERNORTH CARE GROUP-SUN CITY

Facility Address:
9069 W THUNDERBIRD RD
PEORIA, AZ
ZIP 85381
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Facility Phone Number: 623 977-7201

Facility Type: Health Main. Organization

Certificate Type: Waiver

NPI Number: 1992797930

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	03D0057643
LAB Type	Health Main. Organization
Facility Name	EVERNORTH CARE GROUP-SUN CITY
Street	9069 W THUNDERBIRD RD
City	PEORIA
State	AZ
ZIP	85381
Phone	623 977-7201
CertificateType	4
CertificateEffectiveDate	7/3/2023
CertificateExpirationDate	7/2/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024