03D0923274 CLIA NUMBER - HAVASU RAINBOW PEDIATRICS PC

Laboratory Demographics

  • CLIA Code: 03D0923274
  • Facility Name: HAVASU RAINBOW PEDIATRICS PC
  • Facility Address: 1980 MESQUITE AVE STE 101
    LAKE HAVASU, AZ
    ZIP 86403
  • Facility Phone: 928 680-1919
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VIC S. OYAS MD
  • NPI Number: 1437340098
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D0923274
LAB Type Physician Office
Facility Name HAVASU RAINBOW PEDIATRICS PC
Street 1980 MESQUITE AVE STE 101
City LAKE HAVASU
State AZ
ZIP 86403
Phone 928 680-1919
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/18/2024
Certificate Expiration Date 12/17/2026
Facility Type Physician Office
Lab Director VIC S. OYAS MD

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