03D2158539 CLIA NUMBER - KARIBU FAMILY CARE, PLLC

Laboratory Demographics

CLIA Number: 03D2158539

Facility Name: KARIBU FAMILY CARE, PLLC

Facility Address:
20542 N LAKE PLEASANT RD SUITE 105
PEORIA, AZ
ZIP 85382
Get Directions

Facility Phone Number: 623 225-7980

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1255815858

Taxonomy: 363LP2300X - Nurse Practitioner

CLIA Record

Field Name	Field Value
CLIA Number	03D2158539
LAB Type	Practitioner Other
Facility Name	KARIBU FAMILY CARE, PLLC
Street	20542 N LAKE PLEASANT RD SUITE 105
City	PEORIA
State	AZ
ZIP	85382
Phone	623 225-7980
CertificateType	4
CertificateEffectiveDate	11/30/2022
CertificateExpirationDate	11/29/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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