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03D2134057 CLIA NUMBER - PRIMACARE, INC

Laboratory Demographics

CLIA Number: 03D2134057

Facility Name: PRIMACARE, INC

Facility Address:
2163 E BASELINE RD STE 101
TEMPE, AZ
ZIP 85283
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Facility Phone Number: 480 646-8123

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1841354487

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 03D2134057
LAB Type Physician Office
Facility Name PRIMACARE, INC
Street 2163 E BASELINE RD STE 101
City TEMPE
State AZ
ZIP 85283
Phone 480 646-8123
CertificateType 4
CertificateEffectiveDate 7/25/2023
CertificateExpirationDate 7/24/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024