03D2108472 CLIA NUMBER - Lifequest Physical Medicine And Rehab

Laboratory Demographics

CLIA Number: 03D2108472

Facility Name: Lifequest Physical Medicine And Rehab

Facility Address:
1050 E Ray Rd, Ste 4a
Chandler, AZ
ZIP 85225
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Facility Phone Number: (480) 659-2000

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1891179552

Taxonomy: 363AM0700X - Physician Assistant

CLIA Record

Field Name Field Value
CLIA Number 03D2108472
LAB Type PHYSICIAN OFFICE
Facility Name Lifequest Physical Medicine And Rehab
Street 1050 E Ray Rd, Ste 4a
City Chandler
State AZ
ZIP 85225
Phone (480) 659-2000

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