03D2107583 CLIA NUMBER - Arizona State Urological Institute

Laboratory Demographics

CLIA Number:
03D2107583

Facility Name:
Arizona State Urological Institute

Facility Address:
21321 E Ocotillo Rd, Ste 114
Queen Creek, AZ
ZIP 85142
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Facility Phone Number:
(480) 394-0200

Facility Type:
PHYSICIAN OFFICE

Certificate Type:
Waiver

CLIA Record

Field Name	Field Value
CLIA Number	03D2107583
LAB Type	PHYSICIAN OFFICE
Facility Name	Arizona State Urological Institute
Street	21321 E Ocotillo Rd, Ste 114
City	Queen Creek
State	AZ
ZIP	85142
Phone	4803940200

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This page was last updated on: 12/21/2017