03D2116045 CLIA NUMBER - AZIM CLINIC

Laboratory Demographics

CLIA Number: 03D2116045

Facility Name: AZIM CLINIC

Facility Address:
6944 E BROADWAY RD
MESA, AZ
ZIP 85208
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Facility Phone Number: (480) 436-5194

Facility Type: COMMUNITY CLINIC

Certificate Type: Waiver

CLIA Record

Field Name	Field Value
CLIA Number	03D2116045
LAB Type	COMMUNITY CLINIC
Facility Name	AZIM CLINIC
Street	6944 E BROADWAY RD
City	MESA
State	AZ
ZIP	85208
Phone	(480) 436-5194

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