03D2100949 CLIA NUMBER - Wesley Health Center At Golden Gate

Laboratory Demographics

CLIA Number: 03D2100949

Facility Name: Wesley Health Center At Golden Gate

Facility Address:
1625 N 39th Ave
Phoenix, AZ
ZIP 85009
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Facility Phone Number: (602) 368-6760

Facility Type: FEDERALLY QUALIFIED HEALTH CENTER

Certificate Type: Waiver

CLIA Record

Field Name Field Value
CLIA Number 03D2100949
LAB Type FEDERALLY QUALIFIED HEALTH CENTER
Facility Name Wesley Health Center At Golden Gate
Street 1625 N 39th Ave
City Phoenix
State AZ
ZIP 85009
Phone (602) 368-6760

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This page was last updated on: 4/7/2021