03D2126026 CLIA NUMBER - Comprehensive Interventional Care Cent

Laboratory Demographics

CLIA Number: 03D2126026

Facility Name: Comprehensive Interventional Care Cent

Facility Address:
130 S 63rd Street, Suite 101
Mesa, AZ
ZIP 85206
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Facility Phone Number: (480) 985-6000

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1548856164

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 03D2126026
LAB Type PHYSICIAN OFFICE
Facility Name Comprehensive Interventional Care Cent
Street 130 S 63rd Street, Suite 101
City Mesa
State AZ
ZIP 85206
Phone (480) 985-6000

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This page was last updated on: 4/7/2021