03D2299517 CLIA NUMBER - GMC HEALTHCARE PLLC

Laboratory Demographics

CLIA Number: 03D2299517

Facility Name: GMC HEALTHCARE PLLC

Facility Address:
10250 N 124TH ST
SCOTTSDALE, AZ
ZIP 85259
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Facility Phone Number: 480 400-0850

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1659153195

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	03D2299517
LAB Type	Physician Office
Facility Name	GMC HEALTHCARE PLLC
Street	10250 N 124TH ST
City	SCOTTSDALE
State	AZ
ZIP	85259
Phone	480 400-0850
CertificateType	4
CertificateEffectiveDate	2/22/2024
CertificateExpirationDate	2/21/2026
FacilityType	Waiver

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