03D2110368 CLIA NUMBER - PHOENICIAN PRIMARY CARE

Laboratory Demographics

CLIA Number: 03D2110368

Facility Name: PHOENICIAN PRIMARY CARE

Facility Address:
2330 N 75TH AVE SUITE 108
PHOENIX, AZ
ZIP 85035
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Facility Phone Number: (480) 963-1853

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1891895637

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	03D2110368
LAB Type	PHYSICIAN OFFICE
Facility Name	PHOENICIAN PRIMARY CARE
Street	2330 N 75TH AVE SUITE 108
City	PHOENIX
State	AZ
ZIP	85035
Phone	(480) 963-1853

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