03D0708842 CLIA NUMBER - HEALTHWAVES CORPORATE WELLNESS TEAM

Laboratory Demographics

CLIA Number: 03D0708842

Facility Name: HEALTHWAVES CORPORATE WELLNESS TEAM

Facility Address:
1615 W UNIVERSITY DR, STE 137
TEMPE, AZ
ZIP 85281
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Facility Phone Number: 480 968-1886

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1245450980

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name Field Value
CLIA Number 03D0708842
LAB Type Physician Office
Facility Name HEALTHWAVES CORPORATE WELLNESS TEAM
Street 1615 W UNIVERSITY DR, STE 137
City TEMPE
State AZ
ZIP 85281
Phone 480 968-1886
CertificateType 4
CertificateEffectiveDate 8/26/2022
CertificateExpirationDate 8/25/2024
FacilityType Waiver

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