03D2284798 CLIA NUMBER - COREBELLA HEALTH AND WELLNESS, LLC

Laboratory Demographics

CLIA Number: 03D2284798

Facility Name: COREBELLA HEALTH AND WELLNESS, LLC

Facility Address:
4926 E MCDOWELL RD STE 102
PHOENIX, AZ
ZIP 85008
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Facility Phone Number: 833 510-4357

Facility Type: Physician Office

Certificate Type: Accreditation

NPI Number: 1831806744

Taxonomy: 207RA0401X - Internal Medicine
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

CLIA Record

Field Name	Field Value
CLIA Number	03D2284798
LAB Type	Physician Office
Facility Name	COREBELLA HEALTH AND WELLNESS, LLC
Street	4926 E MCDOWELL RD STE 102
City	PHOENIX
State	AZ
ZIP	85008
Phone	833 510-4357
CertificateType	1
CertificateEffectiveDate	6/28/2023
CertificateExpirationDate	6/27/2025
FacilityType	Accreditation

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