03D2121940 CLIA NUMBER - Phoenix Medical Group

Laboratory Demographics

CLIA Number: 03D2121940

Facility Name: Phoenix Medical Group

Facility Address:
5251 W Campbell Ave, Ste 204,
Phoenix, AZ
ZIP 85031
Get Directions

Facility Phone Number: (623) 815-7800

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1710279658
261QS1200X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 03D2121940
LAB Type PHYSICIAN OFFICE
Facility Name Phoenix Medical Group
Street 5251 W Campbell Ave, Ste 204,
City Phoenix
State AZ
ZIP 85031
Phone 6238157800

Download Record

Download this CLIA NUMBER record in Text format: Export

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

Download this CLIA NUMBER record in XML format: Export

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