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