03D2102332 CLIA NUMBER - FOUNTAIN HILLS DIALYSIS

Laboratory Demographics

CLIA Number: 03D2102332

Facility Name: FOUNTAIN HILLS DIALYSIS

Facility Address:
13430 N SAGUARO BLVD
FOUNTAIN HILLS, AZ
ZIP 85268
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Facility Phone Number: (480) 816-5973

Facility Type: END STAGE RENAL DISEASE DIALYSIS

Certificate Type: Waiver

NPI Number: 1427434687

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	03D2102332
LAB Type	END STAGE RENAL DISEASE DIALYSIS
Facility Name	FOUNTAIN HILLS DIALYSIS
Street	13430 N SAGUARO BLVD
City	FOUNTAIN HILLS
State	AZ
ZIP	85268
Phone	(480) 816-5973

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