03D2119682 CLIA NUMBER - CORNERSTONE FAMILY MEDICINE

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Laboratory Demographics

CLIA Number: 03D2119682

Facility Name: CORNERSTONE FAMILY MEDICINE

Facility Address:
36543 N GANTZEL RD, STE 102
SAN TAN VALLEY, AZ
ZIP 85140
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Facility Phone Number: (480) 401-1811

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

CLIA Record

Field Name	Field Value
CLIA Number	03D2119682
LAB Type	PHYSICIAN OFFICE
Facility Name	CORNERSTONE FAMILY MEDICINE
Street	36543 N GANTZEL RD, STE 102
City	SAN TAN VALLEY
State	AZ
ZIP	85140
Phone	(480) 401-1811

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