03D2132669 CLIA NUMBER - MANZANITA MEDICAL PLLC

Laboratory Demographics

CLIA Number: 03D2132669

Facility Name: MANZANITA MEDICAL PLLC

Facility Address:
4545 E SHEA BLVD STE 130
PHOENIX, AZ
ZIP 85028
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Facility Phone Number: (480) 292-9532

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1306376611

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name Field Value
CLIA Number 03D2132669
LAB Type PHYSICIAN OFFICE
Facility Name MANZANITA MEDICAL PLLC
Street 4545 E SHEA BLVD STE 130
City PHOENIX
State AZ
ZIP 85028
Phone (480) 292-9532

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