03D0907018 CLIA NUMBER - CLARENCE WESLEY HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 03D0907018
  • Facility Name: CLARENCE WESLEY HEALTH CENTER
  • Facility Address: 9A CLARENCE WESLEY HEALTH CENTER LOOP
    BYLAS, AZ
    ZIP 85530
  • Facility Phone: 928 475-1372
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: DR. MICHAEL KEENEY
  • NPI Number: 1689951220
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D0907018
LAB Type Community Clinic
Facility Name CLARENCE WESLEY HEALTH CENTER
Street 9A CLARENCE WESLEY HEALTH CENTER LOOP
City BYLAS
State AZ
ZIP 85530
Phone 928 475-1372
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 11/4/2024
Certificate Expiration Date 11/3/2026
Facility Type Community Clinic
Lab Director DR. MICHAEL KEENEY

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