03D2117214 CLIA NUMBER - VALLEY PAIN CENTERS OF PEORIA

Laboratory Demographics

CLIA Number: 03D2117214

Facility Name: VALLEY PAIN CENTERS OF PEORIA

Facility Address:
9242 W UNION HILLS DRIVE, SUITE 100
PEORIA, AZ
ZIP 85382
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Facility Phone Number: (602) 795-0207

Facility Type: AMBULATORY SURGERY CENTER

Certificate Type: Waiver

NPI Number: 1285085068

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	03D2117214
LAB Type	AMBULATORY SURGERY CENTER
Facility Name	VALLEY PAIN CENTERS OF PEORIA
Street	9242 W UNION HILLS DRIVE, SUITE 100
City	PEORIA
State	AZ
ZIP	85382
Phone	(602) 795-0207

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