03D2210730 CLIA NUMBER - ARIZONA MATERNITY AND WOMEN'S CLINIC

Laboratory Demographics

CLIA Number: 03D2210730

Facility Name: ARIZONA MATERNITY AND WOMEN'S CLINIC

Facility Address:
6314 W UNION HILLS DR STE 100
GLENDALE, AZ
ZIP 85308
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Facility Phone Number: 623 322-1800

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1972368272

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	03D2210730
LAB Type	Physician Office
Facility Name	ARIZONA MATERNITY AND WOMEN'S CLINIC
Street	6314 W UNION HILLS DR STE 100
City	GLENDALE
State	AZ
ZIP	85308
Phone	623 322-1800
CertificateType	4
CertificateEffectiveDate	1/22/2023
CertificateExpirationDate	1/21/2025
FacilityType	Waiver

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