03D2116238 CLIA NUMBER - East Valley Joint Clinic Llc

Laboratory Demographics

CLIA Number: 03D2116238

Facility Name: East Valley Joint Clinic Llc

Facility Address:
2231 E Pecos Rd #4,
Chandler, AZ
ZIP 85225
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Facility Phone Number: (480) 718-1444

Facility Type: OTHER PRACTITIONER

Certificate Type: Waiver

NPI Number: 1952771024
363LF0000X - Nurse Practitioner

CLIA Record

Field Name Field Value
CLIA Number 03D2116238
LAB Type OTHER PRACTITIONER
Facility Name East Valley Joint Clinic Llc
Street 2231 E Pecos Rd #4,
City Chandler
State AZ
ZIP 85225
Phone 4807181444

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This page was last updated on: 5/19/2019