03D0699547 CLIA NUMBER - JACQUELINE M SOLOMON DO PC

Laboratory Demographics

CLIA Number: 03D0699547

Facility Name: JACQUELINE M SOLOMON DO PC

Facility Address:
18205 N 51ST AVE, STE #133
GLENDALE, AZ
ZIP 85308
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Facility Phone Number: 623 561-1151

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1104890193

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	03D0699547
LAB Type	Physician Office
Facility Name	JACQUELINE M SOLOMON DO PC
Street	18205 N 51ST AVE, STE #133
City	GLENDALE
State	AZ
ZIP	85308
Phone	623 561-1151
CertificateType	3
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	PPMP

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