03D2285906 CLIA NUMBER - ALIUM HEALTH DBA ALIUM TOTAL WOMEN'S CARE

Laboratory Demographics

CLIA Number: 03D2285906

Facility Name: ALIUM HEALTH DBA ALIUM TOTAL WOMEN'S CARE

Facility Address:
13555 W MCDOWELL RD STE 200
GOODYEAR, AZ
ZIP 85395
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Facility Phone Number: 623 227-0009

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1619484037

Taxonomy: 261QM1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	03D2285906
LAB Type	Physician Office
Facility Name	ALIUM HEALTH DBA ALIUM TOTAL WOMEN'S CARE
Street	13555 W MCDOWELL RD STE 200
City	GOODYEAR
State	AZ
ZIP	85395
Phone	623 227-0009
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