03D2098347 CLIA NUMBER - Aspire Health, LLC

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: 4/7/2021