Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
03D2258732
|
|
Clinical laboratory number
|
|
Lab Name
|
PRIMARY CARE AT HOME
|
|
Laboratory Name
|
|
Lab Type
|
Practitioner Other
|
|
Laboratory Type
|
|
Certificate Type
|
Waiver
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
520-400-3184
|
|
Laboratory telephone number
|
|
Fax
|
480-999-6184
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
6827 S RED HILLS RD
|
|
Primary location adress line
|
|
City
|
GOLD CANYON
|
|
Primary location city name
|
|
State
|
AZ
|
|
Primary location state name
|
|
Zip
|
85118
|
|
Primary location postal code
|