03D2021810 CLIA NUMBER - HONORHEALTH CARDIAC REHABILITATION, DEER VALLEY MEDICAL CENTER

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Laboratory Demographics

CLIA Number: 03D2021810

Facility Name: HONORHEALTH CARDIAC REHABILITATION, DEER VALLEY MEDICAL CENTER

Facility Address:
19636 N 27TH AVE SUITE LL4
PHOENIX, AZ
ZIP 85027
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Facility Phone Number: 623 879-1800

Facility Type: Hospital

Certificate Type: Waiver

NPI Number: 1922564657

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	03D2021810
LAB Type	Hospital
Facility Name	HONORHEALTH CARDIAC REHABILITATION, DEER VALLEY MEDICAL CENTER
Street	19636 N 27TH AVE SUITE LL4
City	PHOENIX
State	AZ
ZIP	85027
Phone	623 879-1800
CertificateType	4
CertificateEffectiveDate	3/22/2023
CertificateExpirationDate	3/21/2025
FacilityType	Waiver

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