03D2107033 CLIA NUMBER - Family Medical And Wellness Care Plc

Laboratory Demographics

CLIA Number: 03D2107033

Facility Name: Family Medical And Wellness Care Plc

Facility Address:
4530 E Ray Rd Ste 130
Phoenix, AZ
ZIP 85044
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Facility Phone Number: (480) 494-2100

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1821464082

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 03D2107033
LAB Type PHYSICIAN OFFICE
Facility Name Family Medical And Wellness Care Plc
Street 4530 E Ray Rd Ste 130
City Phoenix
State AZ
ZIP 85044
Phone (480) 494-2100

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