03D2132024 CLIA NUMBER - ESTRELLA EAR, NOSE AND THROAT, PC

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Laboratory Demographics

CLIA Number: 03D2132024

Facility Name: ESTRELLA EAR, NOSE AND THROAT, PC

Facility Address:
2700 N 140TH AVE STE 107
GOODYEAR, AZ
ZIP 85395
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Facility Phone Number: (623) 535-8770

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1952623100

Taxonomy: 207YS0123X - Otolaryngology
An otolaryngologist who specializes in facial plastic surgery.

CLIA Record

Field Name	Field Value
CLIA Number	03D2132024
LAB Type	PHYSICIAN OFFICE
Facility Name	ESTRELLA EAR, NOSE AND THROAT, PC
Street	2700 N 140TH AVE STE 107
City	GOODYEAR
State	AZ
ZIP	85395
Phone	(623) 535-8770

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