03D1094131 CLIA NUMBER - NORTERRA FAMILY MEDICINE

Laboratory Demographics

CLIA Number: 03D1094131

Facility Name: NORTERRA FAMILY MEDICINE

Facility Address:
2060 W WHISPERING WIND, STE 173
PHOENIX, AZ
ZIP 85085
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Facility Phone Number: 623 565-5060

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1700034956

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 03D1094131
LAB Type Physician Office
Facility Name NORTERRA FAMILY MEDICINE
Street 2060 W WHISPERING WIND, STE 173
City PHOENIX
State AZ
ZIP 85085
Phone 623 565-5060
CertificateType 4
CertificateEffectiveDate 10/29/2023
CertificateExpirationDate 10/28/2025
FacilityType Waiver

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