03D2126163 CLIA NUMBER - Uptown Facility LLC

Laboratory Demographics

CLIA Number: 03D2126163

Facility Name: Uptown Facility LLC

Facility Address:
3724 N 3rd St Ste 302
Phoenix, AZ
ZIP 85012
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Facility Phone Number: (602) 714-8185

Facility Type: OTHER

Certificate Type: Waiver

NPI Number: 1679014765

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 03D2126163
LAB Type OTHER
Facility Name Uptown Facility LLC
Street 3724 N 3rd St Ste 302
City Phoenix
State AZ
ZIP 85012
Phone (602) 714-8185

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