03D2106167 CLIA NUMBER - CLEAR CHOICE PHYSICIANS, LLC

Laboratory Demographics

CLIA Number: 03D2106167

Facility Name: CLEAR CHOICE PHYSICIANS, LLC

Facility Address:
6328 E BROWN RD, STE 106
MESA, AZ
ZIP 85205
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Facility Phone Number: (480) 654-3303

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1780957985

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	03D2106167
LAB Type	PHYSICIAN OFFICE
Facility Name	CLEAR CHOICE PHYSICIANS, LLC
Street	6328 E BROWN RD, STE 106
City	MESA
State	AZ
ZIP	85205
Phone	(480) 654-3303

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