03D2119537 CLIA NUMBER - Pain Solutions Medical Group

Laboratory Demographics

CLIA Number: 03D2119537

Facility Name: Pain Solutions Medical Group

Facility Address:
4910 W Ray Rd, #2
Chandler, AZ
ZIP 85226
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Facility Phone Number: (480) 855-0557

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1174011795

Taxonomy: 261QH0100X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 03D2119537
LAB Type PHYSICIAN OFFICE
Facility Name Pain Solutions Medical Group
Street 4910 W Ray Rd, #2
City Chandler
State AZ
ZIP 85226
Phone (480) 855-0557

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