03D2126026 CLIA NUMBER - COMPREHENSIVE INTERVENTIONAL CARE CENTERS

Laboratory Demographics

CLIA Number: 03D2126026

Facility Name: COMPREHENSIVE INTERVENTIONAL CARE CENTERS

Facility Address:
2145 W 28TH ST STE A & B
YUMA, AZ
ZIP 85364
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Facility Phone Number: (928) 328-8338

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1871223149

Taxonomy: 213ES0103X - Podiatrist

CLIA Record

Field Name	Field Value
CLIA Number	03D2126026
LAB Type	PHYSICIAN OFFICE
Facility Name	COMPREHENSIVE INTERVENTIONAL CARE CENTERS
Street	2145 W 28TH ST STE A & B
City	YUMA
State	AZ
ZIP	85364
Phone	(928) 328-8338

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This page was last updated on: 5/11/2023