03D2103480 CLIA NUMBER - ARIZONA BLEEDING DISORDERS HEALTH AND WELLNESS

Laboratory Demographics

CLIA Number: 03D2103480

Facility Name: ARIZONA BLEEDING DISORDERS HEALTH AND WELLNESS

Facility Address:
821 N 5TH AVE
PHOENIX, AZ
ZIP 85003
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Facility Phone Number: (602) 680-7722

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1982090338

Taxonomy: 208D00000X - General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	03D2103480
LAB Type	PHYSICIAN OFFICE
Facility Name	ARIZONA BLEEDING DISORDERS HEALTH AND WELLNESS
Street	821 N 5TH AVE
City	PHOENIX
State	AZ
ZIP	85003
Phone	(602) 680-7722

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