03D0532041 CLIA NUMBER - MARANA HEALTH CENTER

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Laboratory Demographics

CLIA Number: 03D0532041

Facility Name: MARANA HEALTH CENTER

Facility Address:
13395 N MARANA MAIN ST
MARANA, AZ
ZIP 85653
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Facility Phone Number: 520 682-4111

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1518444009

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	03D0532041
LAB Type	Community Clinic
Facility Name	MARANA HEALTH CENTER
Street	13395 N MARANA MAIN ST
City	MARANA
State	AZ
ZIP	85653
Phone	520 682-4111
CertificateType	4
CertificateEffectiveDate	9/25/2023
CertificateExpirationDate	9/24/2025
FacilityType	Waiver

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