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 9287336351

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