03D0534473 CLIA NUMBER - THOMAS G DALLMAN MD PC

Laboratory Demographics

  • CLIA Code: 03D0534473
  • Facility Name: THOMAS G DALLMAN MD PC
  • Facility Address: 1355 RAMAR RD STE 12
    BULLHEAD CITY, AZ
    ZIP 86442
  • Facility Phone: 928 763-9505
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: THOMAS G. DALLMAN MD
  • NPI Number: 1568643757
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D0534473
LAB Type Physician Office
Facility Name THOMAS G DALLMAN MD PC
Street 1355 RAMAR RD STE 12
City BULLHEAD CITY
State AZ
ZIP 86442
Phone 928 763-9505
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/5/2023
Certificate Expiration Date 10/4/2025
Facility Type Physician Office
Lab Director THOMAS G. DALLMAN MD

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