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03D2114233 CLIA NUMBER - NEW DBA - CAREFIRST WELLNESS ASSOCIATES OF AZ

Laboratory Demographics

CLIA Number: 03D2114233

Facility Name: NEW DBA - CAREFIRST WELLNESS ASSOCIATES OF AZ

Facility Address:
12361 W BOLA DR STE 109
SURPRISE, AZ
ZIP 85378
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Facility Phone Number: 623 227-1000

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1235701327

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 03D2114233
LAB Type Physician Office
Facility Name NEW DBA - CAREFIRST WELLNESS ASSOCIATES OF AZ
Street 12361 W BOLA DR STE 109
City SURPRISE
State AZ
ZIP 85378
Phone 623 227-1000
CertificateType 4
CertificateEffectiveDate 6/9/2022
CertificateExpirationDate 6/8/2024
FacilityType Waiver

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