03D2109621 CLIA NUMBER - ZONA SPINE AND PAIN LLC

Laboratory Demographics

CLIA Number: 03D2109621

Facility Name: ZONA SPINE AND PAIN LLC

Facility Address:
750 N ESTRELLA PARKWAY, STE 60
GOODYEAR, AZ
ZIP 85338
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Facility Phone Number: (623) 321-5079

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1477910263

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	03D2109621
LAB Type	PHYSICIAN OFFICE
Facility Name	ZONA SPINE AND PAIN LLC
Street	750 N ESTRELLA PARKWAY, STE 60
City	GOODYEAR
State	AZ
ZIP	85338
Phone	(623) 321-5079

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This page was last updated on: 5/11/2023