03D2112113 CLIA NUMBER - MIDWESTERN UNIVERSITY COMPREHENSIVE CARE CLINIC

Laboratory Demographics

CLIA Number: 03D2112113

Facility Name: MIDWESTERN UNIVERSITY COMPREHENSIVE CARE CLINIC

Facility Address:
2000 W BETHANY HOME RD STE 200
PHOENIX, AZ
ZIP 85015
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Facility Phone Number: (602) 726-8894

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

CLIA Record

Field Name	Field Value
CLIA Number	03D2112113
LAB Type	PHYSICIAN OFFICE
Facility Name	MIDWESTERN UNIVERSITY COMPREHENSIVE CARE CLINIC
Street	2000 W BETHANY HOME RD STE 200
City	PHOENIX
State	AZ
ZIP	85015
Phone	(602) 726-8894

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