03D2130038 CLIA NUMBER - Dr G G Bonnin Pc

Laboratory Demographics

CLIA Number: 03D2130038

Facility Name: Dr G G Bonnin Pc

Facility Address:
4570 E Cactus Rd
Phoenix, AZ
ZIP 85032
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Facility Phone Number: (602) 242-1105

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

CLIA Record

Field Name Field Value
CLIA Number 03D2130038
LAB Type PHYSICIAN OFFICE
Facility Name Dr G G Bonnin Pc
Street 4570 E Cactus Rd
City Phoenix
State AZ
ZIP 85032
Phone (602) 242-1105

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