Clinical Laboratory Information
Similar CLIA Codes
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CLIA Number
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03D2319764
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Clinical laboratory number
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Lab Name
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PORVAZNIK FAMILY MEDICINE PLLC
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Laboratory Name
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Lab Type
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Physician Office
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Laboratory Type
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Certificate Type
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Waiver
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Clinical laboratory certificate type
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Contacts |
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Phone
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301-801-2577
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Laboratory telephone number
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Fax
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800-543-4205
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Fax number of the provider.
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Facility Location |
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Street Address
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5200 E CORTLAND BLVD STE D3
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Primary location adress line
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City
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FLAGSTAFF
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Primary location city name
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State
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AZ
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Primary location state name
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Zip
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86004
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Primary location postal code
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