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: 5/11/2023