03D0531799 CLIA NUMBER - GILA VALLEY CLINIC

Laboratory Demographics

  • CLIA Code: 03D0531799
  • Facility Name: GILA VALLEY CLINIC
  • Facility Address: 1680 S 20TH AVENUE
    SAFFORD, AZ
    ZIP 85546
  • Facility Phone: 928 428-1377
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: CATHERINE H. ROMERO
  • NPI Number: 1255510228
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D0531799
LAB Type Physician Office
Facility Name GILA VALLEY CLINIC
Street 1680 S 20TH AVENUE
City SAFFORD
State AZ
ZIP 85546
Phone 928 428-1377
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 4/28/2024
Certificate Expiration Date 4/27/2026
Facility Type Physician Office
Lab Director CATHERINE H. ROMERO

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This page was last updated on: 9/29/2025