03D2229996 CLIA NUMBER - APRICUS MEDICAL GROUP - FLAGSTAFF FAMILY PHYSICIANS

Laboratory Demographics

CLIA Number: 03D2229996

Facility Name: APRICUS MEDICAL GROUP - FLAGSTAFF FAMILY PHYSICIANS

Facility Address:
710 N BEAVER ST #3
FLAGSTAFF, AZ
ZIP 86001
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Facility Phone Number: 602 675-9005

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1174160329

Taxonomy: 208D00000X - General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	03D2229996
LAB Type	Physician Office
Facility Name	APRICUS MEDICAL GROUP - FLAGSTAFF FAMILY PHYSICIANS
Street	710 N BEAVER ST #3
City	FLAGSTAFF
State	AZ
ZIP	86001
Phone	602 675-9005
CertificateType	4
CertificateEffectiveDate	7/19/2023
CertificateExpirationDate	7/18/2025
FacilityType	Waiver

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