03D2106174 CLIA NUMBER - Patricia Rodriguez, Fnp-C & Associates

Laboratory Demographics

CLIA Number: 03D2106174

Facility Name: Patricia Rodriguez, Fnp-C & Associates

Facility Address:
1950 E Juan Sanchez Blvd, Ste
San Luis, AZ
ZIP 85349
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Facility Phone Number: (928) 550-5641

Facility Type: COMMUNITY CLINIC

Certificate Type: Waiver

NPI Number: 1992160329

Taxonomy: 363LF0000X - Nurse Practitioner

CLIA Record

Field Name Field Value
CLIA Number 03D2106174
LAB Type COMMUNITY CLINIC
Facility Name Patricia Rodriguez, Fnp-C & Associates
Street 1950 E Juan Sanchez Blvd, Ste
City San Luis
State AZ
ZIP 85349
Phone (928) 550-5641

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