03D2125176 CLIA NUMBER - Ken N Factor, Od, Pc

Laboratory Demographics

CLIA Number: 03D2125176

Facility Name: Ken N Factor, Od, Pc

Facility Address:
4550 E Bell Rd Ste 104,
Phoenix, AZ
ZIP 85032
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Facility Phone Number: (602) 996-2020

Facility Type: OTHER PRACTITIONER

Certificate Type: Waiver

CLIA Record

Field Name Field Value
CLIA Number 03D2125176
LAB Type OTHER PRACTITIONER
Facility Name Ken N Factor, Od, Pc
Street 4550 E Bell Rd Ste 104,
City Phoenix
State AZ
ZIP 85032
Phone 6029962020

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