03D2098572 CLIA NUMBER - ARIZONA CENTER FOR CANCER CARE

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Laboratory Demographics

CLIA Number: 03D2098572

Facility Name: ARIZONA CENTER FOR CANCER CARE

Facility Address:
3645 S ROME ST, STE 116
GILBERT, AZ
ZIP 85297
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Facility Phone Number: (623) 773-2873

Facility Type: OTHER PRACTITIONER

Certificate Type: Waiver

NPI Number: 1558683714

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	03D2098572
LAB Type	OTHER PRACTITIONER
Facility Name	ARIZONA CENTER FOR CANCER CARE
Street	3645 S ROME ST, STE 116
City	GILBERT
State	AZ
ZIP	85297
Phone	(623) 773-2873

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