03D2129834 CLIA NUMBER - Cooper Medical Group LLC

Laboratory Demographics

CLIA Number: 03D2129834

Facility Name: Cooper Medical Group LLC

Facility Address:
2815 E Ocotillo Rd #4
Chandler, AZ
ZIP 85249
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Facility Phone Number: (480) 926-7800

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1871067744

Taxonomy: 208D00000X - General Practice

CLIA Record

Field Name	Field Value
CLIA Number	03D2129834
LAB Type	PHYSICIAN OFFICE
Facility Name	Cooper Medical Group LLC
Street	2815 E Ocotillo Rd #4
City	Chandler
State	AZ
ZIP	85249
Phone	(480) 926-7800

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