03D2100201 CLIA NUMBER - GRANDVIEW TERRACE HEALTH CLINIC

Laboratory Demographics

CLIA Number: 03D2100201

Facility Name: GRANDVIEW TERRACE HEALTH CLINIC

Facility Address:
14505 W GRANITE VALLEY DRIVE
SUN CITY WEST, AZ
ZIP 85375
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Facility Phone Number: (623) 975-8030

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1295992246

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	03D2100201
LAB Type	PHYSICIAN OFFICE
Facility Name	GRANDVIEW TERRACE HEALTH CLINIC
Street	14505 W GRANITE VALLEY DRIVE
City	SUN CITY WEST
State	AZ
ZIP	85375
Phone	(623) 975-8030

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