03D1017071 CLIA NUMBER - CASA GRANDE CBOC

Laboratory Demographics

  • CLIA Code: 03D1017071
  • Facility Name: CASA GRANDE CBOC
  • Facility Address: 1876 E SABIN DRIVE, BLDG A
    CASA GRANDE, AZ
    ZIP 85222
  • Facility Phone: 520 836-2536
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: JAMES KLUTTS
  • NPI Number: 1871589051
  • Taxonomy: 207P00000X - Emergency Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D1017071
LAB Type Community Clinic
Facility Name CASA GRANDE CBOC
Street 1876 E SABIN DRIVE, BLDG A
City CASA GRANDE
State AZ
ZIP 85222
Phone 520 836-2536
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 9/16/2003
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director JAMES KLUTTS

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