03D1061267 CLIA NUMBER - PHOENICIAN PRIMARY CARE

Laboratory Demographics

CLIA Number: 03D1061267

Facility Name: PHOENICIAN PRIMARY CARE

Facility Address:
275 E COTTONWOOD LN #2-3
CASA GRANDE, AZ
ZIP 85122
Get Directions

Facility Phone Number: 480 963-1853

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1891895637

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	03D1061267
LAB Type	Physician Office
Facility Name	PHOENICIAN PRIMARY CARE
Street	275 E COTTONWOOD LN #2-3
City	CASA GRANDE
State	AZ
ZIP	85122
Phone	480 963-1853
CertificateType	3
CertificateEffectiveDate	11/14/2022
CertificateExpirationDate	11/13/2024
FacilityType	PPMP

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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