03D2136390 CLIA NUMBER - EAST VALLEY UROLOGY CENTER

Laboratory Demographics

CLIA Number: 03D2136390

Facility Name: EAST VALLEY UROLOGY CENTER

Facility Address:
6116 E ARBOR AVE, BLDG 2, STE 108
MESA, AZ
ZIP 85206
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Facility Phone Number: (480) 219-1010

Facility Type: PHYSICIAN OFFICE

Certificate Type: Certificate of Compliance

NPI Number: 1487193371

Taxonomy: 261QM2500X - Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

CLIA Record

Field Name Field Value
CLIA Number 03D2136390
LAB Type PHYSICIAN OFFICE
Facility Name EAST VALLEY UROLOGY CENTER
Street 6116 E ARBOR AVE, BLDG 2, STE 108
City MESA
State AZ
ZIP 85206
Phone (480) 219-1010

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