03D2109047 CLIA NUMBER - Community Medical Services

Laboratory Demographics

CLIA Number: 03D2109047

Facility Name: Community Medical Services

Facility Address:
2301 W Northern Ave
Phoenix, AZ
ZIP 85021
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Facility Phone Number: (602) 866-9378

Facility Type: OTHER

Certificate Type: Waiver

NPI Number: 1497818595

Taxonomy: 261QM2800X - Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

CLIA Record

Field Name Field Value
CLIA Number 03D2109047
LAB Type OTHER
Facility Name Community Medical Services
Street 2301 W Northern Ave
City Phoenix
State AZ
ZIP 85021
Phone (602) 866-9378

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