03D2103490 CLIA NUMBER - Advanced Pain Management

Laboratory Demographics

CLIA Number: 03D2103490

Facility Name: Advanced Pain Management

Facility Address:
4425 E Agave Rd, Bldg 9, Ste 1
Phoenix, AZ
ZIP 85044
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Facility Phone Number: (623) 466-6350

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

CLIA Record

Field Name	Field Value
CLIA Number	03D2103490
LAB Type	PHYSICIAN OFFICE
Facility Name	Advanced Pain Management
Street	4425 E Agave Rd, Bldg 9, Ste 1
City	Phoenix
State	AZ
ZIP	85044
Phone	(623) 466-6350

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