03D0920594 CLIA NUMBER - BIO-MEDICAL APPLICATIONS OF ARIZONA DBA BMA RED MOUNTAIN

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Laboratory Demographics

CLIA Number: 03D0920594

Facility Name: BIO-MEDICAL APPLICATIONS OF ARIZONA DBA BMA RED MOUNTAIN

Facility Address:
1211 N COUNTRY CLUB DR, #4
MESA, AZ
ZIP 85201
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Facility Phone Number: 480 833-7440

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1841302742

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	03D0920594
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	BIO-MEDICAL APPLICATIONS OF ARIZONA DBA BMA RED MOUNTAIN
Street	1211 N COUNTRY CLUB DR, #4
City	MESA
State	AZ
ZIP	85201
Phone	480 833-7440
CertificateType	4
CertificateEffectiveDate	10/4/2022
CertificateExpirationDate	10/3/2024
FacilityType	Waiver

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