03D2114233 CLIA NUMBER - More MD

Laboratory Demographics

CLIA Number: 03D2114233

Facility Name: More MD

Facility Address:
12361 W Bola Dr, #109
Surprise, AZ
ZIP 85374
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Facility Phone Number: (623) 227-1000

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1598125791

Taxonomy: 261QM1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	03D2114233
LAB Type	PHYSICIAN OFFICE
Facility Name	More MD
Street	12361 W Bola Dr, #109
City	Surprise
State	AZ
ZIP	85374
Phone	(623) 227-1000

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