03D2104518 CLIA NUMBER - Pophealthcare Medical Services Of Az,

Laboratory Demographics

CLIA Number: 03D2104518

Facility Name: Pophealthcare Medical Services Of Az,

Facility Address:
51 W 3rd St Ste 500
Tempe, AZ
ZIP 85281
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Facility Phone Number: (615) 610-4492

Facility Type: OTHER

Certificate Type: Waiver

NPI Number: 1760884175

Taxonomy: 363LA2200X - Nurse Practitioner

CLIA Record

Field Name Field Value
CLIA Number 03D2104518
LAB Type OTHER
Facility Name Pophealthcare Medical Services Of Az,
Street 51 W 3rd St Ste 500
City Tempe
State AZ
ZIP 85281
Phone (615) 610-4492

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