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03D1101676 CLIA NUMBER - LAKESIDE INTERNAL MEDICINE, PLLC

Laboratory Demographics

CLIA Number: 03D1101676

Facility Name: LAKESIDE INTERNAL MEDICINE, PLLC

Facility Address:
10450 E RIGGS RD, STE 110
SUN LAKES, AZ
ZIP 85248
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Facility Phone Number: 480 895-7600

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1063854420

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 03D1101676
LAB Type Physician Office
Facility Name LAKESIDE INTERNAL MEDICINE, PLLC
Street 10450 E RIGGS RD, STE 110
City SUN LAKES
State AZ
ZIP 85248
Phone 480 895-7600
CertificateType 4
CertificateEffectiveDate 7/2/2023
CertificateExpirationDate 7/1/2025
FacilityType Waiver

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