03D1102514 CLIA NUMBER - COVENANT CARE FAMILY MEDICINE

Laboratory Demographics

CLIA Number: 03D1102514

Facility Name: COVENANT CARE FAMILY MEDICINE

Facility Address:
10595 N TATUM BLVD #E144
PARADISE VALLEY, AZ
ZIP 85253
Get Directions

Facility Phone Number: 480 907-7978

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1861636573

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	03D1102514
LAB Type	Physician Office
Facility Name	COVENANT CARE FAMILY MEDICINE
Street	10595 N TATUM BLVD #E144
City	PARADISE VALLEY
State	AZ
ZIP	85253
Phone	480 907-7978
CertificateType	4
CertificateEffectiveDate	7/20/2023
CertificateExpirationDate	7/19/2025
FacilityType	Waiver

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