03D0962193 CLIA NUMBER - SIERRA VISTA INTERNAL MEDICINE, PLLC

Laboratory Demographics

CLIA Number: 03D0962193

Facility Name: SIERRA VISTA INTERNAL MEDICINE, PLLC

Facility Address:
75 COLONIA DE SALUD #200A
SIERRA VISTA, AZ
ZIP 85635
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Facility Phone Number: 520 458-8145

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1689612293

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	03D0962193
LAB Type	Physician Office
Facility Name	SIERRA VISTA INTERNAL MEDICINE, PLLC
Street	75 COLONIA DE SALUD #200A
City	SIERRA VISTA
State	AZ
ZIP	85635
Phone	520 458-8145
CertificateType	3
CertificateEffectiveDate	6/25/2023
CertificateExpirationDate	6/24/2025
FacilityType	PPMP

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