03D2107652 CLIA NUMBER - Summit Healthcare Plastic Surgery

Laboratory Demographics

CLIA Number:
03D2107652

Facility Name:
Summit Healthcare Plastic Surgery

Facility Address:
2450 East Show Low Lake Rd #2a
Show Low, AZ
ZIP 85901
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Facility Phone Number:
(928) 537-6767

Facility Type:
PHYSICIAN OFFICE

Certificate Type:
Waiver

CLIA Record

Field Name Field Value
CLIA Number 03D2107652
LAB Type PHYSICIAN OFFICE
Facility Name Summit Healthcare Plastic Surgery
Street 2450 East Show Low Lake Rd #2a
City Show Low
State AZ
ZIP 85901
Phone 9285376767

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