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: 5/11/2023