03D2109595 CLIA NUMBER - Coram Alternate Site Services, Inc

Laboratory Demographics

CLIA Number:
03D2109595

Facility Name:
Coram Alternate Site Services, Inc

Facility Address:
20650 North 29th Place, Suite 105
Phoenix, AZ
ZIP 85050

Facility Phone Number:
(602) 788-3400

Facility Type:
HOME HEALTH AGENCY

Certificate Type:
Waiver

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CLIA Record

Field Name Field Value
CLIA Number 03D2109595
LAB Type HOME HEALTH AGENCY
Facility Name Coram Alternate Site Services, Inc
Street 20650 North 29th Place, Suite 105
City Phoenix
State AZ
ZIP 85050
Phone 6027883400

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