03D2137797 CLIA NUMBER - LAKE PLEASANT FAMILY MEDICINE

Laboratory Demographics

CLIA Number: 03D2137797

Facility Name: LAKE PLEASANT FAMILY MEDICINE

Facility Address:
20542 N LAKE PLEASANT RD STE 115
PEORIA, AZ
ZIP 85382
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Facility Phone Number: (623) 476-5820

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

CLIA Record

Field Name	Field Value
CLIA Number	03D2137797
LAB Type	PHYSICIAN OFFICE
Facility Name	LAKE PLEASANT FAMILY MEDICINE
Street	20542 N LAKE PLEASANT RD STE 115
City	PEORIA
State	AZ
ZIP	85382
Phone	(623) 476-5820

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