03D2115798 CLIA NUMBER - Southwest Kidney Institute

Laboratory Demographics

CLIA Number: 03D2115798

Facility Name: Southwest Kidney Institute

Facility Address:
2005 Injo Dr, Ste 103
Lake Havasu City, AZ
ZIP 86403
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Facility Phone Number: (480) 610-6100

Facility Type: PHYSICIAN OFFICE

Certificate Type: Microscopy

NPI Number: 1346436532

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 03D2115798
LAB Type PHYSICIAN OFFICE
Facility Name Southwest Kidney Institute
Street 2005 Injo Dr, Ste 103
City Lake Havasu City
State AZ
ZIP 86403
Phone (480) 610-6100

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