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03D2129779 CLIA NUMBER - PALO VERDE HEMATOLOGY ONCOLOGY DBA

Laboratory Demographics

CLIA Number: 03D2129779

Facility Name: PALO VERDE HEMATOLOGY ONCOLOGY DBA

Facility Address:
19636 N 27TH AVE STE 202
PHOENIX, AZ
ZIP 85027
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Facility Phone Number: (623) 547-2600

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1952007106

Taxonomy: 332900000X - Non-Pharmacy Dispensing Site
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

CLIA Record

Field Name Field Value
CLIA Number 03D2129779
LAB Type PHYSICIAN OFFICE
Facility Name PALO VERDE HEMATOLOGY ONCOLOGY DBA
Street 19636 N 27TH AVE STE 202
City PHOENIX
State AZ
ZIP 85027
Phone (623) 547-2600

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