03D0954010 CLIA NUMBER - COCHISE HEART CENTER, PLLC

Laboratory Demographics

  • CLIA Code: 03D0954010
  • Facility Name: COCHISE HEART CENTER, PLLC
  • Facility Address: 75 COLONIA DE SALUD #200B
    SIERRA VISTA, AZ
    ZIP 85635
  • Facility Phone: 520 417-0468
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WILLIAM G. ELLIOTT DO
  • NPI Number: 1295835882
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D0954010
LAB Type Physician Office
Facility Name COCHISE HEART CENTER, PLLC
Street 75 COLONIA DE SALUD #200B
City SIERRA VISTA
State AZ
ZIP 85635
Phone 520 417-0468
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/16/2024
Certificate Expiration Date 11/15/2026
Facility Type Physician Office
Lab Director WILLIAM G. ELLIOTT DO

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