03D2125059 CLIA NUMBER - SOUTHWEST PRIMARY CARE, LTD

Laboratory Demographics

CLIA Number: 03D2125059

Facility Name: SOUTHWEST PRIMARY CARE, LTD

Facility Address:
1741 MESQUITE AVE, STE 100
LAKE HAVASU CITY, AZ
ZIP 86403
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Facility Phone Number: (928) 733-6351

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

CLIA Record

Field Name	Field Value
CLIA Number	03D2125059
LAB Type	PHYSICIAN OFFICE
Facility Name	SOUTHWEST PRIMARY CARE, LTD
Street	1741 MESQUITE AVE, STE 100
City	LAKE HAVASU CITY
State	AZ
ZIP	86403
Phone	(928) 733-6351

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