03D0947856 CLIA NUMBER - UNION HILLS FAMILY MEDICINE CENTER

Laboratory Demographics

CLIA Number: 03D0947856

Facility Name: UNION HILLS FAMILY MEDICINE CENTER

Facility Address:
18185 N 83RD AVE BLDG D, STE 107
GLENDALE, AZ
ZIP 85308
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Facility Phone Number: 623 583-0306

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1962447185

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	03D0947856
LAB Type	Physician Office
Facility Name	UNION HILLS FAMILY MEDICINE CENTER
Street	18185 N 83RD AVE BLDG D, STE 107
City	GLENDALE
State	AZ
ZIP	85308
Phone	623 583-0306
CertificateType	3
CertificateEffectiveDate	6/24/2022
CertificateExpirationDate	6/23/2024
FacilityType	PPMP

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