03D2105741 CLIA NUMBER - All Wellness Medical Center, Pllc

Laboratory Demographics

CLIA Number: 03D2105741

Facility Name: All Wellness Medical Center, Pllc

Facility Address:
2500 Canyon Rd A2
Bullhead City, AZ
ZIP 86442
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Facility Phone Number: (928) 219-0719

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1154796969

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 03D2105741
LAB Type PHYSICIAN OFFICE
Facility Name All Wellness Medical Center, Pllc
Street 2500 Canyon Rd A2
City Bullhead City
State AZ
ZIP 86442
Phone (928) 219-0719

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