03D2234666 CLIA NUMBER - HEALTHYU FAMILY MEDICINE

Laboratory Demographics

CLIA Number: 03D2234666

Facility Name: HEALTHYU FAMILY MEDICINE

Facility Address:
840 E MCKELLIPS RD STE 105
MESA, AZ
ZIP 85203
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Facility Phone Number: 602 491-0701

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1669149787

Taxonomy: 261QM1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	03D2234666
LAB Type	Physician Office
Facility Name	HEALTHYU FAMILY MEDICINE
Street	840 E MCKELLIPS RD STE 105
City	MESA
State	AZ
ZIP	85203
Phone	602 491-0701
CertificateType	4
CertificateEffectiveDate	9/1/2023
CertificateExpirationDate	8/31/2025
FacilityType	Waiver

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