03D2110072 CLIA NUMBER - STRIPES URGENT CARE

Laboratory Demographics

  • Code: 03D2110072
  • Facility Name: STRIPES URGENT CARE
  • Facility Address: 6820 S KINGS RANCH RD STE 130
    GOLD CANYON, AZ
    ZIP 85118
  • Facility Phone: 480 246-3411
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • NPI Number: 1639538846
  • Taxonomy: 261QU0200X - Clinic/Center
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CLIA Record

Field Name Field Value
CLIA Number 03D2110072
LAB Type Physician Office
Facility Name STRIPES URGENT CARE
Street 6820 S KINGS RANCH RD STE 130
City GOLD CANYON
State AZ
ZIP 85118
Phone 480 246-3411
Certificate Type 4
Certificate Effective Date 3/8/2024
Certificate Expiration Date 3/7/2026
Facility Type Waiver

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This page was last updated on: 4/23/2024