03D0999336 CLIA NUMBER - GILA COUNTY SHERIFF'S OFFICE MEDICAL UNIT

Laboratory Demographics

  • CLIA Code: 03D0999336
  • Facility Name: GILA COUNTY SHERIFF'S OFFICE MEDICAL UNIT
  • Facility Address: 1100 S STREET
    GLOBE, AZ
    ZIP 85501
  • Facility Phone: 928 402-0075
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: KATHY E. TAVARES RN
  • NPI Number: 1073716791
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 03D0999336
LAB Type Other
Facility Name GILA COUNTY SHERIFF'S OFFICE MEDICAL UNIT
Street 1100 S STREET
City GLOBE
State AZ
ZIP 85501
Phone 928 402-0075
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/9/2024
Certificate Expiration Date 5/8/2026
Facility Type Other
Lab Director KATHY E. TAVARES RN

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