03D0895649 CLIA NUMBER - CASA GRANDE INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 03D0895649
  • Facility Name: CASA GRANDE INTERNAL MEDICINE
  • Facility Address: 1637 E MONUMENT PLAZA CIRCLE STE 1
    CASA GRANDE, AZ
    ZIP 85122
  • Facility Phone: 520 426-1512
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MOHAMMED T. ZARA MD
  • NPI Number: 1881997484
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D0895649
LAB Type Physician Office
Facility Name CASA GRANDE INTERNAL MEDICINE
Street 1637 E MONUMENT PLAZA CIRCLE STE 1
City CASA GRANDE
State AZ
ZIP 85122
Phone 520 426-1512
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/9/2025
Certificate Expiration Date 2/8/2027
Facility Type Physician Office
Lab Director MOHAMMED T. ZARA MD

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