03D2125597 CLIA NUMBER - HEARTFIT FOR DUTY, LLC

Laboratory Demographics

CLIA Number: 03D2125597

Facility Name: HEARTFIT FOR DUTY, LLC

Facility Address:
1901 E UNIVERSITY DR STE 200
MESA, AZ
ZIP 85203
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Facility Phone Number: 480 999-7911

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1295009561

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	03D2125597
LAB Type	Physician Office
Facility Name	HEARTFIT FOR DUTY, LLC
Street	1901 E UNIVERSITY DR STE 200
City	MESA
State	AZ
ZIP	85203
Phone	480 999-7911
CertificateType	4
CertificateEffectiveDate	2/10/2023
CertificateExpirationDate	2/9/2025
FacilityType	Waiver

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