03D2297796 CLIA NUMBER - REGENESIS HEALTHCARE INC DBA ADD CLINIC OF ARIOZNA

Laboratory Demographics

CLIA Number: 03D2297796

Facility Name: REGENESIS HEALTHCARE INC DBA ADD CLINIC OF ARIOZNA

Facility Address:
6750 W THUNDERBIRD RD STE B-108
PEORIA, AZ
ZIP 85381
Get Directions

Facility Phone Number: 623 428-8110

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1710742218

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	03D2297796
LAB Type	Physician Office
Facility Name	REGENESIS HEALTHCARE INC DBA ADD CLINIC OF ARIOZNA
Street	6750 W THUNDERBIRD RD STE B-108
City	PEORIA
State	AZ
ZIP	85381
Phone	623 428-8110
CertificateType	4
CertificateEffectiveDate	1/23/2024
CertificateExpirationDate	1/22/2026
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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