03D2104001 CLIA NUMBER - VERA WHOLE HEALTH

Laboratory Demographics

CLIA Number: 03D2104001

Facility Name: VERA WHOLE HEALTH

Facility Address:
1500 E CEDAR AVE, STE 80
FLAGSTAFF, AZ
ZIP 86004
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Facility Phone Number: (928) 774-3985

Facility Type: PHYSICIAN OFFICE

Certificate Type: Microscopy

NPI Number: 1578930012

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	03D2104001
LAB Type	PHYSICIAN OFFICE
Facility Name	VERA WHOLE HEALTH
Street	1500 E CEDAR AVE, STE 80
City	FLAGSTAFF
State	AZ
ZIP	86004
Phone	(928) 774-3985

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