03D0530824 CLIA NUMBER - CARLOS CAZARES DO DBA GLENDALE FAMILY CLINIC

Laboratory Demographics

CLIA Number: 03D0530824

Facility Name: CARLOS CAZARES DO DBA GLENDALE FAMILY CLINIC

Facility Address:
6717 N 59TH AVE
GLENDALE, AZ
ZIP 85301
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Facility Phone Number: (623) 939-1411

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1649237488

Taxonomy: 208D00000X - General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	03D0530824
LAB Type	PHYSICIAN OFFICE
Facility Name	CARLOS CAZARES DO DBA GLENDALE FAMILY CLINIC
Street	6717 N 59TH AVE
City	GLENDALE
State	AZ
ZIP	85301
Phone	(623) 939-1411

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This page was last updated on: 5/11/2023