03D0952426 CLIA NUMBER - RENAL CARE GROUP - SUN LAKES

Laboratory Demographics

CLIA Number: 03D0952426

Facility Name: RENAL CARE GROUP - SUN LAKES

Facility Address:
9666 E RIGGS RD STE 143
SUN LAKES, AZ
ZIP 85248
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Facility Phone Number: 480 883-1301

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1659483469

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	03D0952426
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	RENAL CARE GROUP - SUN LAKES
Street	9666 E RIGGS RD STE 143
City	SUN LAKES
State	AZ
ZIP	85248
Phone	480 883-1301
CertificateType	4
CertificateEffectiveDate	10/13/2022
CertificateExpirationDate	10/12/2024
FacilityType	Waiver

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