03D2120844 CLIA NUMBER - CENTRAL ARIZONA GI AND LIVER INSTITUTE, LLC

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Laboratory Demographics

CLIA Number: 03D2120844

Facility Name: CENTRAL ARIZONA GI AND LIVER INSTITUTE, LLC

Facility Address:
4001 E BASELINE RD, STE 102-103
GILBERT, AZ
ZIP 85234
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Facility Phone Number: (480) 393-0575

Facility Type: AMBULATORY SURGERY CENTER

Certificate Type: Waiver

NPI Number: 1164871075

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	03D2120844
LAB Type	AMBULATORY SURGERY CENTER
Facility Name	CENTRAL ARIZONA GI AND LIVER INSTITUTE, LLC
Street	4001 E BASELINE RD, STE 102-103
City	GILBERT
State	AZ
ZIP	85234
Phone	(480) 393-0575

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