03D2113129 CLIA NUMBER - MAYO CLINIC PRIMARY CARE - PHOENIX

Laboratory Demographics

CLIA Number: 03D2113129

Facility Name: MAYO CLINIC PRIMARY CARE - PHOENIX

Facility Address:
5701 E MAYO BLVD
PHOENIX, AZ
ZIP 85054
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Facility Phone Number: (480) 301-4002

Facility Type: PHYSICIAN OFFICE

Certificate Type: Accreditation

NPI Number: 1083079099

Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

CLIA Record

Field Name	Field Value
CLIA Number	03D2113129
LAB Type	PHYSICIAN OFFICE
Facility Name	MAYO CLINIC PRIMARY CARE - PHOENIX
Street	5701 E MAYO BLVD
City	PHOENIX
State	AZ
ZIP	85054
Phone	(480) 301-4002

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