03D2098578 CLIA NUMBER - ARIZONA CENTER FOR CANCER CARE

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Laboratory Demographics

CLIA Number: 03D2098578

Facility Name: ARIZONA CENTER FOR CANCER CARE

Facility Address:
14674 W MOUNTAIN VIEW BLVD, #104
SURPRISE, AZ
ZIP 85374
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Facility Phone Number: (623) 773-2873

Facility Type: OTHER PRACTITIONER

Certificate Type: Waiver

NPI Number: 1164794772

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	03D2098578
LAB Type	OTHER PRACTITIONER
Facility Name	ARIZONA CENTER FOR CANCER CARE
Street	14674 W MOUNTAIN VIEW BLVD, #104
City	SURPRISE
State	AZ
ZIP	85374
Phone	(623) 773-2873

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