03D2130941 CLIA NUMBER - SAN LUIS WALK IN CLINIC, INC

Laboratory Demographics

CLIA Number: 03D2130941

Facility Name: SAN LUIS WALK IN CLINIC, INC

Facility Address:
950 E MAIN ST BLDG B
SOMERTON, AZ
ZIP 85350
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Facility Phone Number: (928) 722-6112

Facility Type: RURAL HEALTH CLINIC

Certificate Type: Waiver

NPI Number: 1861780231

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	03D2130941
LAB Type	RURAL HEALTH CLINIC
Facility Name	SAN LUIS WALK IN CLINIC, INC
Street	950 E MAIN ST BLDG B
City	SOMERTON
State	AZ
ZIP	85350
Phone	(928) 722-6112

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