03D0972797 CLIA NUMBER - FAMILY HEALTH CENTER OF EAST VALLEY, PLLC

Laboratory Demographics

CLIA Number: 03D0972797

Facility Name: FAMILY HEALTH CENTER OF EAST VALLEY, PLLC

Facility Address:
6952 E BROADWAY ROAD SUITE 101
MESA, AZ
ZIP 85208
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Facility Phone Number: 480 325-0905

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1699945675

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	03D0972797
LAB Type	Physician Office
Facility Name	FAMILY HEALTH CENTER OF EAST VALLEY, PLLC
Street	6952 E BROADWAY ROAD SUITE 101
City	MESA
State	AZ
ZIP	85208
Phone	480 325-0905
CertificateType	4
CertificateEffectiveDate	4/18/2024
CertificateExpirationDate	4/17/2026
FacilityType	Waiver

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