03D2085266 CLIA NUMBER - ARIZONA GENERAL HOSPITAL

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Laboratory Demographics

CLIA Number: 03D2085266

Facility Name: ARIZONA GENERAL HOSPITAL

Facility Address:
7171 S 51ST AVENUE
LAVEEN, AZ
ZIP 85339
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Facility Phone Number: 623 584-5100

Facility Type: Hospital

Certificate Type: Accreditation

NPI Number: 1164822904

Taxonomy: 261QE0002X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	03D2085266
LAB Type	Hospital
Facility Name	ARIZONA GENERAL HOSPITAL
Street	7171 S 51ST AVENUE
City	LAVEEN
State	AZ
ZIP	85339
Phone	623 584-5100
CertificateType	1
CertificateEffectiveDate	7/13/2022
CertificateExpirationDate	7/12/2024
FacilityType	Accreditation

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