03D2125483 CLIA NUMBER - PVAHCS - MIDTOWN VA HEALTH CARE CLINIC

Laboratory Demographics

CLIA Number: 03D2125483

Facility Name: PVAHCS - MIDTOWN VA HEALTH CARE CLINIC

Facility Address:
5040 N 15TH AVENUE
PHOENIX, AZ
ZIP 85015
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Facility Phone Number: 602 234-7080

Facility Type: Community Clinic

Certificate Type: Accreditation

CLIA Record

Field Name Field Value
CLIA Number 03D2125483
LAB Type Community Clinic
Facility Name PVAHCS - MIDTOWN VA HEALTH CARE CLINIC
Street 5040 N 15TH AVENUE
City PHOENIX
State AZ
ZIP 85015
Phone 602 234-7080
CertificateType 1
CertificateEffectiveDate 2/8/2017
CertificateExpirationDate 5/22/2026
FacilityType Accreditation

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This page was last updated on: 4/23/2024