Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
38D1053709
|
|
Clinical laboratory number
|
|
Lab Name
|
PROVIDENCE MEDICAL GROUP PHOENIX FAMILY PRACTICE
|
|
Laboratory Name
|
|
Lab Type
|
Physician Office
|
|
Laboratory Type
|
|
Certificate Type
|
N/S (NOT SPECIFIED)
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
541-535-1274
|
|
Laboratory telephone number
|
|
Fax
|
541-732-3406
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
205 N PHOENIX RD SUITE A
|
|
Primary location adress line
|
|
City
|
PHOENIX
|
|
Primary location city name
|
|
State
|
OR
|
|
Primary location state name
|
|
Zip
|
97535
|
|
Primary location postal code
|