03D0990189 CLIA NUMBER - CARNETT CLINIC, LLC

Laboratory Demographics

  • CLIA Code: 03D0990189
  • Facility Name: CARNETT CLINIC, LLC
  • Facility Address: 4990 E MEDITERRANEAN DR, STE A
    SIERRA VISTA, AZ
    ZIP 85635
  • Facility Phone: 520 439-5186
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK C. CARNETT
  • NPI Number: 1790961167
  • Taxonomy: 207QA0505X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D0990189
LAB Type Physician Office
Facility Name CARNETT CLINIC, LLC
Street 4990 E MEDITERRANEAN DR, STE A
City SIERRA VISTA
State AZ
ZIP 85635
Phone 520 439-5186
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/16/2025
Certificate Expiration Date 8/15/2027
Facility Type Physician Office
Lab Director MARK C. CARNETT

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