03D2123969 CLIA NUMBER - VIJAY CHAMY INTERNAL MEDICINE

Laboratory Demographics

CLIA Number: 03D2123969

Facility Name: VIJAY CHAMY INTERNAL MEDICINE

Facility Address:
4263 HWY 68
GOLDEN VALLEY, AZ
ZIP 86413
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Facility Phone Number: (928) 715-6216

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

CLIA Record

Field Name	Field Value
CLIA Number	03D2123969
LAB Type	PHYSICIAN OFFICE
Facility Name	VIJAY CHAMY INTERNAL MEDICINE
Street	4263 HWY 68
City	GOLDEN VALLEY
State	AZ
ZIP	86413
Phone	(928) 715-6216

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