03D2034013 CLIA NUMBER - HONORHEALTH URGENT CARE

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Laboratory Demographics

CLIA Number: 03D2034013

Facility Name: HONORHEALTH URGENT CARE

Facility Address:
1810 S POWER RD, STE 101
MESA, AZ
ZIP 85206
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Facility Phone Number: 480 214-0045

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1982211512

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	03D2034013
LAB Type	Physician Office
Facility Name	HONORHEALTH URGENT CARE
Street	1810 S POWER RD, STE 101
City	MESA
State	AZ
ZIP	85206
Phone	480 214-0045
CertificateType	4
CertificateEffectiveDate	12/14/2023
CertificateExpirationDate	12/13/2025
FacilityType	Waiver

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