03D2106702 CLIA NUMBER - Phoenix Medical Group

Laboratory Demographics

CLIA Number: 03D2106702

Facility Name: Phoenix Medical Group

Facility Address:
9305 W Thomas Rd, Ste 365
Phoenix, AZ
ZIP 85037
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Facility Phone Number: (623) 815-7800

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1124251699

Taxonomy: 261QS1200X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 03D2106702
LAB Type PHYSICIAN OFFICE
Facility Name Phoenix Medical Group
Street 9305 W Thomas Rd, Ste 365
City Phoenix
State AZ
ZIP 85037
Phone (623) 815-7800

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