03D2006915 CLIA NUMBER - VERVE MEDICAL GROUP, LLC

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Laboratory Demographics

CLIA Number: 03D2006915

Facility Name: VERVE MEDICAL GROUP, LLC

Facility Address:
4824 E BASELINE ROAD SUITE 140
MESA, AZ
ZIP 85206
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Facility Phone Number: 480 969-4040

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1245464478

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	03D2006915
LAB Type	Physician Office
Facility Name	VERVE MEDICAL GROUP, LLC
Street	4824 E BASELINE ROAD SUITE 140
City	MESA
State	AZ
ZIP	85206
Phone	480 969-4040
CertificateType	4
CertificateEffectiveDate	5/4/2024
CertificateExpirationDate	5/3/2026
FacilityType	Waiver

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