03D2104283 CLIA NUMBER - Southwest Kidney Institute, Plc

Laboratory Demographics

CLIA Number: 03D2104283

Facility Name: Southwest Kidney Institute, Plc

Facility Address:
1000 Willow Creek Rd, Ste F
Prescott, AZ
ZIP 86301
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Facility Phone Number: (480) 610-6100

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1053360925

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 03D2104283
LAB Type PHYSICIAN OFFICE
Facility Name Southwest Kidney Institute, Plc
Street 1000 Willow Creek Rd, Ste F
City Prescott
State AZ
ZIP 86301
Phone (480) 610-6100

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