03D2129837 CLIA NUMBER - Surprise Pain Management

Laboratory Demographics

CLIA Number: 03D2129837

Facility Name: Surprise Pain Management

Facility Address:
13697 W Grand Ave Ste C103
Surprise, AZ
ZIP 85374
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Facility Phone Number: (602) 589-0500

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

CLIA Record

Field Name Field Value
CLIA Number 03D2129837
LAB Type PHYSICIAN OFFICE
Facility Name Surprise Pain Management
Street 13697 W Grand Ave Ste C103
City Surprise
State AZ
ZIP 85374
Phone (602) 589-0500

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