03D2013103 CLIA NUMBER - WOMEN OF EXCELLENCE HEALTHCARE PLLC

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Laboratory Demographics

CLIA Number: 03D2013103

Facility Name: WOMEN OF EXCELLENCE HEALTHCARE PLLC

Facility Address:
36375 N GANTZEL RD STE 103
SAN TAN VALLEY, AZ
ZIP 85140
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Facility Phone Number: 480 987-5500

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1548575012

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	03D2013103
LAB Type	Physician Office
Facility Name	WOMEN OF EXCELLENCE HEALTHCARE PLLC
Street	36375 N GANTZEL RD STE 103
City	SAN TAN VALLEY
State	AZ
ZIP	85140
Phone	480 987-5500
CertificateType	4
CertificateEffectiveDate	9/14/2022
CertificateExpirationDate	9/13/2024
FacilityType	Waiver

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