03D0717371 CLIA NUMBER - FELIZ CARE CENTERS

Laboratory Demographics

CLIA Number: 03D0717371

Facility Name: FELIZ CARE CENTERS

Facility Address:
3306 W ROOSEVELT ST
PHOENIX, AZ
ZIP 85009
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Facility Phone Number: 602 889-9401

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1942764063

Taxonomy: 363LP0808X - Nurse Practitioner

CLIA Record

Field Name Field Value
CLIA Number 03D0717371
LAB Type Physician Office
Facility Name FELIZ CARE CENTERS
Street 3306 W ROOSEVELT ST
City PHOENIX
State AZ
ZIP 85009
Phone 602 889-9401
CertificateType 4
CertificateEffectiveDate 9/1/2022
CertificateExpirationDate 8/31/2024
FacilityType Waiver

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