CLIA Code Details

Clinical Laboratory Code : 03d2187472

PREMISE HEALTH OF ARIZONA MEDICAL, PC (PHYSICIAN OFFICE)

Clinical Laboratory Information

Similar CLIA Codes
CLIA Number 03D2187472
Clinical laboratory number
Lab Name PREMISE HEALTH OF ARIZONA MEDICAL, PC
Laboratory Name
Lab Type Physician Office
Laboratory Type
Certificate Type Waiver
Clinical laboratory certificate type

Contacts

Phone 520-619-2134
Laboratory telephone number
Fax 520-356-5389
Fax number of the provider.

Facility Location

Street Address 139 W COTTONWOOD LANE STE 107
Primary location adress line
City CASA GRANDE
Primary location city name
State AZ
Primary location state name
Zip 85122
Primary location postal code

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