03D2023549 CLIA NUMBER - HONORHEALTH URGENT CARE

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Laboratory Demographics

CLIA Number: 03D2023549

Facility Name: HONORHEALTH URGENT CARE

Facility Address:
5130 W BASELINE RD, STE 102
LAVEEN, AZ
ZIP 85339
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Facility Phone Number: 602 237-7373

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1467069047

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	03D2023549
LAB Type	Physician Office
Facility Name	HONORHEALTH URGENT CARE
Street	5130 W BASELINE RD, STE 102
City	LAVEEN
State	AZ
ZIP	85339
Phone	602 237-7373
CertificateType	4
CertificateEffectiveDate	3/14/2024
CertificateExpirationDate	3/13/2026
FacilityType	Waiver

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