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
Get Directions

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

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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