03D2126326 CLIA NUMBER - VALLEY VIEW PRIMARY CARE ASSOCIATES

Laboratory Demographics

CLIA Number: 03D2126326

Facility Name: VALLEY VIEW PRIMARY CARE ASSOCIATES

Facility Address:
3641 HIGHWAY 95
BULLHEAD CITY, AZ
ZIP 86442
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Facility Phone Number: (928) 758-2273

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1205264041

Taxonomy: 363LF0000X - Nurse Practitioner

CLIA Record

Field Name	Field Value
CLIA Number	03D2126326
LAB Type	PHYSICIAN OFFICE
Facility Name	VALLEY VIEW PRIMARY CARE ASSOCIATES
Street	3641 HIGHWAY 95
City	BULLHEAD CITY
State	AZ
ZIP	86442
Phone	(928) 758-2273

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