03D2113233 CLIA NUMBER - CARDIAC CATH LAB OF PHOENIX

Laboratory Demographics

CLIA Number: 03D2113233

Facility Name: CARDIAC CATH LAB OF PHOENIX

Facility Address:
1910 E THOMAS RD, STE 101
PHOENIX, AZ
ZIP 85016
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Facility Phone Number: 713 335-3374

Facility Type: Other - CARDIAC CATH LAB

Certificate Type: Accreditation

NPI Number: 1841650850

Taxonomy: 261QM1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	03D2113233
LAB Type	Other - CARDIAC CATH LAB
Facility Name	CARDIAC CATH LAB OF PHOENIX
Street	1910 E THOMAS RD, STE 101
City	PHOENIX
State	AZ
ZIP	85016
Phone	713 335-3374
CertificateType	1
CertificateEffectiveDate	3/29/2023
CertificateExpirationDate	3/28/2025
FacilityType	Accreditation

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