03D2105162 CLIA NUMBER - WHISPERING PALMS MEDICAL INC

Laboratory Demographics

CLIA Number: 03D2105162

Facility Name: WHISPERING PALMS MEDICAL INC

Facility Address:
3552 W BASELINE RD, STE 140
LAVEEN, AZ
ZIP 85339
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Facility Phone Number: (602) 635-6951

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

CLIA Record

Field Name	Field Value
CLIA Number	03D2105162
LAB Type	PHYSICIAN OFFICE
Facility Name	WHISPERING PALMS MEDICAL INC
Street	3552 W BASELINE RD, STE 140
City	LAVEEN
State	AZ
ZIP	85339
Phone	(602) 635-6951

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