03D2103480 CLIA NUMBER - Arizona Bleeding Disorders Health And

Laboratory Demographics

CLIA Number: 03D2103480

Facility Name: Arizona Bleeding Disorders Health And

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

CLIA Record

Field Name Field Value
CLIA Number 03D2103480
LAB Type PHYSICIAN OFFICE
Facility Name Arizona Bleeding Disorders Health And
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: 4/7/2021