03D2098347 CLIA NUMBER - ASPIRE HEALTH, LLC

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Laboratory Demographics

CLIA Number: 03D2098347

Facility Name: ASPIRE HEALTH, LLC

Facility Address:
11215 W NEVADA AVE, STE C
YOUNGTOWN, AZ
ZIP 85363
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Facility Phone Number: (623) 847-8839

Facility Type: OTHER PRACTITIONER

Certificate Type: Waiver

NPI Number: 1447631676

Taxonomy: 363LA2200X - Nurse Practitioner

CLIA Record

Field Name	Field Value
CLIA Number	03D2098347
LAB Type	OTHER PRACTITIONER
Facility Name	ASPIRE HEALTH, LLC
Street	11215 W NEVADA AVE, STE C
City	YOUNGTOWN
State	AZ
ZIP	85363
Phone	(623) 847-8839

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This page was last updated on: 5/11/2023