03D2003118 CLIA NUMBER - SURPRISE FAMILY MEDICINE, PLC

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Laboratory Demographics

CLIA Number: 03D2003118

Facility Name: SURPRISE FAMILY MEDICINE, PLC

Facility Address:
14239 W BELL RD, STE 225
SURPRISE, AZ
ZIP 85374
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Facility Phone Number: (623) 544-0101

Facility Type: PHYSICIAN OFFICE

Certificate Type: Microscopy

NPI Number: 1114462330

Taxonomy: 261QD0000X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	03D2003118
LAB Type	PHYSICIAN OFFICE
Facility Name	SURPRISE FAMILY MEDICINE, PLC
Street	14239 W BELL RD, STE 225
City	SURPRISE
State	AZ
ZIP	85374
Phone	(623) 544-0101

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This page was last updated on: 5/11/2023