03D2152093 CLIA NUMBER - BALANCE HORMONE CENTER

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Laboratory Demographics

CLIA Number: 03D2152093

Facility Name: BALANCE HORMONE CENTER

Facility Address:
3530 S VAL VISTA DR, STE 214
GILBERT, AZ
ZIP 85297
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Facility Phone Number: 480 718-9960

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1124495403

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	03D2152093
LAB Type	Physician Office
Facility Name	BALANCE HORMONE CENTER
Street	3530 S VAL VISTA DR, STE 214
City	GILBERT
State	AZ
ZIP	85297
Phone	480 718-9960
CertificateType	4
CertificateEffectiveDate	8/2/2022
CertificateExpirationDate	8/1/2024
FacilityType	Waiver

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