03D2298328 CLIA NUMBER - ARIZONA CLINIC PLLC

Laboratory Demographics

CLIA Number: 03D2298328

Facility Name: ARIZONA CLINIC PLLC

Facility Address:
4834 E BROADWAY BLVD
TUCSON, AZ
ZIP 85711
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Facility Phone Number: 206 551-0154

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1053188771

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	03D2298328
LAB Type	Physician Office
Facility Name	ARIZONA CLINIC PLLC
Street	4834 E BROADWAY BLVD
City	TUCSON
State	AZ
ZIP	85711
Phone	206 551-0154
CertificateType	4
CertificateEffectiveDate	2/1/2024
CertificateExpirationDate	1/31/2026
FacilityType	Waiver

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