03D1076778 CLIA NUMBER - WILLIAM A CHAVIRA, MD, PC

Laboratory Demographics

CLIA Number: 03D1076778

Facility Name: WILLIAM A CHAVIRA, MD, PC

Facility Address:
600 WEST THOMAS RD
PHOENIX, AZ
ZIP 85013
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Facility Phone Number: 602 234-9611

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1144326422

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	03D1076778
LAB Type	Physician Office
Facility Name	WILLIAM A CHAVIRA, MD, PC
Street	600 WEST THOMAS RD
City	PHOENIX
State	AZ
ZIP	85013
Phone	602 234-9611
CertificateType	3
CertificateEffectiveDate	7/2/2022
CertificateExpirationDate	7/1/2024
FacilityType	PPMP

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