03D0930586 CLIA NUMBER - DESERT FAMILY MEDICINE AT GOLD CANYON ARIZONA, PLC

Laboratory Demographics

CLIA Number: 03D0930586

Facility Name: DESERT FAMILY MEDICINE AT GOLD CANYON ARIZONA, PLC

Facility Address:
6410 S KINGS RANCH ROAD STE 1
GOLD CANYON, AZ
ZIP 85118
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Facility Phone Number: 480 761-2500

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1962989244

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	03D0930586
LAB Type	Physician Office
Facility Name	DESERT FAMILY MEDICINE AT GOLD CANYON ARIZONA, PLC
Street	6410 S KINGS RANCH ROAD STE 1
City	GOLD CANYON
State	AZ
ZIP	85118
Phone	480 761-2500
CertificateType	3
CertificateEffectiveDate	11/10/2022
CertificateExpirationDate	11/9/2024
FacilityType	PPMP

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