03D2191588 CLIA NUMBER - BALANCE MIDWIFERY & WOMEN'S HEALTH

Home > CLIA Lookup > 03D2191588

Laboratory Demographics

CLIA Number: 03D2191588

Facility Name: BALANCE MIDWIFERY & WOMEN'S HEALTH

Facility Address:
875 N GREENFIELD RD STE 101
GILBERT, AZ
ZIP 85234
Get Directions

Facility Phone Number: 480 664-7463

Facility Type: Practitioner Other

Certificate Type: Microscopy

NPI Number: 1346852241

Taxonomy: 363LW0102X - Nurse Practitioner

CLIA Record

Field Name	Field Value
CLIA Number	03D2191588
LAB Type	Practitioner Other
Facility Name	BALANCE MIDWIFERY & WOMEN'S HEALTH
Street	875 N GREENFIELD RD STE 101
City	GILBERT
State	AZ
ZIP	85234
Phone	480 664-7463
CertificateType	3
CertificateEffectiveDate	8/28/2022
CertificateExpirationDate	8/27/2024
FacilityType	PPMP

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