03D2121103 CLIA NUMBER - Healthy Wings Primary Healthcare

Laboratory Demographics

CLIA Number: 03D2121103

Facility Name: Healthy Wings Primary Healthcare

Facility Address:
512 E Southern Ave Ste B
Tempe, AZ
ZIP 85282
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Facility Phone Number: (520) 477-1815

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1376905786

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 03D2121103
LAB Type PHYSICIAN OFFICE
Facility Name Healthy Wings Primary Healthcare
Street 512 E Southern Ave Ste B
City Tempe
State AZ
ZIP 85282
Phone (520) 477-1815

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