03D2283900 CLIA NUMBER - KINGFISHER FAMILY MEDICINE PLLC

Laboratory Demographics

CLIA Number: 03D2283900

Facility Name: KINGFISHER FAMILY MEDICINE PLLC

Facility Address:
14506 W GRANITE VALLEY DR STE 123
SUN CITY WEST, AZ
ZIP 85375
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Facility Phone Number: 623 250-2150

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1366121287

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	03D2283900
LAB Type	Physician Office
Facility Name	KINGFISHER FAMILY MEDICINE PLLC
Street	14506 W GRANITE VALLEY DR STE 123
City	SUN CITY WEST
State	AZ
ZIP	85375
Phone	623 250-2150
CertificateType	4
CertificateEffectiveDate	6/14/2023
CertificateExpirationDate	6/13/2025
FacilityType	Waiver

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