03D2116541 CLIA NUMBER - PERALTA URGENT CARE

Laboratory Demographics

CLIA Number: 03D2116541

Facility Name: PERALTA URGENT CARE

Facility Address:
6740 S KINGS RANCH RD STE 102
GOLD CANYON, AZ
ZIP 85118
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Facility Phone Number: (480) 616-2500

Facility Type: OTHER

Certificate Type: Waiver

NPI Number: 1700247335

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	03D2116541
LAB Type	OTHER
Facility Name	PERALTA URGENT CARE
Street	6740 S KINGS RANCH RD STE 102
City	GOLD CANYON
State	AZ
ZIP	85118
Phone	(480) 616-2500

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