03D2115394 CLIA NUMBER - Lasala Medical LLC, Dba Sunset Clinic

Laboratory Demographics

CLIA Number: 03D2115394

Facility Name: Lasala Medical LLC, Dba Sunset Clinic

Facility Address:
7609 E Pinnacle Peak Rd Ste 9
Scottsdale, AZ
ZIP 85255
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Facility Phone Number: (602) 689-5955

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1023461092

Taxonomy: 363LF0000X - Nurse Practitioner

CLIA Record

Field Name Field Value
CLIA Number 03D2115394
LAB Type PHYSICIAN OFFICE
Facility Name Lasala Medical LLC, Dba Sunset Clinic
Street 7609 E Pinnacle Peak Rd Ste 9
City Scottsdale
State AZ
ZIP 85255
Phone (602) 689-5955

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