03D2112736 CLIA NUMBER - PREMIER DRAW SERVICES LLC

Laboratory Demographics

  • Code: 03D2112736
  • Facility Name: PREMIER DRAW SERVICES LLC
  • Facility Address: 508 E MINERAL RD
    PHOENIX, AZ
    ZIP 85042
  • Facility Phone: 602 318-5854
  • Facility Type: Other - PHLEBOTOMY SERVICES
  • Facility Type: Waiver
  • NPI Number: 1104226224
  • Taxonomy: 291U00000X - Clinical Medical Laboratory
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CLIA Record

Field Name Field Value
CLIA Number 03D2112736
LAB Type Other - PHLEBOTOMY SERVICES
Facility Name PREMIER DRAW SERVICES LLC
Street 508 E MINERAL RD
City PHOENIX
State AZ
ZIP 85042
Phone 602 318-5854
Certificate Type 4
Certificate Effective Date 1/10/2024
Certificate Expiration Date 1/9/2026
Facility Type Waiver

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