03D2126120 CLIA NUMBER - Family Tree Health Care

Laboratory Demographics

CLIA Number: 03D2126120

Facility Name: Family Tree Health Care

Facility Address:
7002 S Central Ave
Phoenix, AZ
ZIP 85042
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Facility Phone Number: (602) 499-4221

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1336500636

Taxonomy: 363LF0000X - Nurse Practitioner

CLIA Record

Field Name Field Value
CLIA Number 03D2126120
LAB Type PHYSICIAN OFFICE
Facility Name Family Tree Health Care
Street 7002 S Central Ave
City Phoenix
State AZ
ZIP 85042
Phone (602) 499-4221

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