03D0982413 CLIA NUMBER - DESERT SAGE INTERNAL MEDICINE LTD

Laboratory Demographics

  • CLIA Code: 03D0982413
  • Facility Name: DESERT SAGE INTERNAL MEDICINE LTD
  • Facility Address: 1834 E INNOVATION PARK DR
    ORO VALLEY, AZ
    ZIP 85755
  • Facility Phone: 520 825-9656
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: PAMELA A. DOWELL
  • NPI Number: 1497713796
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D0982413
LAB Type Physician Office
Facility Name DESERT SAGE INTERNAL MEDICINE LTD
Street 1834 E INNOVATION PARK DR
City ORO VALLEY
State AZ
ZIP 85755
Phone 520 825-9656
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director PAMELA A. DOWELL

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