Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
03D2313150
|
|
Clinical laboratory number
|
|
Lab Name
|
ADVANCED RECONSTRUCTION & AESTHETICS LLC
|
|
Laboratory Name
|
|
Lab Type
|
Physician Office
|
|
Laboratory Type
|
|
Certificate Type
|
Waiver
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
602-899-6444
|
|
Laboratory telephone number
|
|
Fax
|
602-899-4161
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
4630 E INDIAN SCHOOL RD
|
|
Primary location adress line
|
|
City
|
PHOENIX
|
|
Primary location city name
|
|
State
|
AZ
|
|
Primary location state name
|
|
Zip
|
85018
|
|
Primary location postal code
|