03D2113095 CLIA NUMBER - San Luis Urgent Care

Laboratory Demographics

CLIA Number: 03D2113095

Facility Name: San Luis Urgent Care

Facility Address:
1233 N Main St Ste 1
San Luis, AZ
ZIP 85349
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Facility Phone Number: (928) 550-5514

Facility Type: OTHER

Certificate Type: Waiver

NPI Number: 1144680455

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 03D2113095
LAB Type OTHER
Facility Name San Luis Urgent Care
Street 1233 N Main St Ste 1
City San Luis
State AZ
ZIP 85349
Phone (928) 550-5514

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This page was last updated on: 4/7/2021