03D2120493 CLIA NUMBER - Melinda M Martin, Md

Laboratory Demographics

CLIA Number: 03D2120493

Facility Name: Melinda M Martin, Md

Facility Address:
7750 E Florentine,
Prescott Valley, AZ
ZIP 86314
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Facility Phone Number: (928) 777-0070

Facility Type: PHYSICIAN OFFICE

Certificate Type: Microscopy

NPI Number: 1053525063
207VX0000X - Obstetrics & Gynecology

CLIA Record

Field Name Field Value
CLIA Number 03D2120493
LAB Type PHYSICIAN OFFICE
Facility Name Melinda M Martin, Md
Street 7750 E Florentine,
City Prescott Valley
State AZ
ZIP 86314
Phone 9287770070

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