03D2114010 CLIA NUMBER - EVERNORTH HEALTH COACH ARIZONA

Laboratory Demographics

CLIA Number: 03D2114010

Facility Name: EVERNORTH HEALTH COACH ARIZONA

Facility Address:
8888 E RAINTREE DR STE 180
SCOTTSDALE, AZ
ZIP 85260
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Facility Phone Number: (480) 868-0646

Facility Type: OTHER

Certificate Type: Waiver

NPI Number: 1942866629

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	03D2114010
LAB Type	OTHER
Facility Name	EVERNORTH HEALTH COACH ARIZONA
Street	8888 E RAINTREE DR STE 180
City	SCOTTSDALE
State	AZ
ZIP	85260
Phone	(480) 868-0646

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