03D2299757 CLIA NUMBER - NIMBUS HEALTH SUN CITY PC

Laboratory Demographics

CLIA Number: 03D2299757

Facility Name: NIMBUS HEALTH SUN CITY PC

Facility Address:
14300 W GRANITE VALLEY DR STE E-23
SUN CITY WEST, AZ
ZIP 85375
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Facility Phone Number: 623 975-0500

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1275216715

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	03D2299757
LAB Type	Physician Office
Facility Name	NIMBUS HEALTH SUN CITY PC
Street	14300 W GRANITE VALLEY DR STE E-23
City	SUN CITY WEST
State	AZ
ZIP	85375
Phone	623 975-0500
CertificateType	4
CertificateEffectiveDate	2/27/2024
CertificateExpirationDate	2/26/2026
FacilityType	Waiver

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