03D2017953 CLIA NUMBER - ALLIANCE URGENT CARE

Laboratory Demographics

CLIA Code: 03D2017953
Facility Name: ALLIANCE URGENT CARE
Facility Address: 15530 W ROOSEVELT ST, STE D101
GOODYEAR, AZ
ZIP 85338
Facility Phone: 855 887-4368
Facility Type: Other - URGENT CARE
Facility Type: Waiver
Lab Director: MICHAEL R. BLUMHOFF
NPI Number: 1144786799
Taxonomy: 320800000X - Community Based Residential Treatment Facility, Mental Illness

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CLIA Record

Field Name	Field Value
CLIA Number	03D2017953
LAB Type	Other - URGENT CARE
Facility Name	ALLIANCE URGENT CARE
Street	15530 W ROOSEVELT ST, STE D101
City	GOODYEAR
State	AZ
ZIP	85338
Phone	855 887-4368
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	12/21/2024
Certificate Expiration Date	12/20/2026
Facility Type	Other - URGENT CARE
Lab Director	MICHAEL R. BLUMHOFF

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This page was last updated on: 9/29/2025