03D1018615 CLIA NUMBER - YOUR FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 03D1018615
  • Facility Name: YOUR FAMILY PRACTICE
  • Facility Address: 2051 EVERGREEN LANE STE D
    SHOW LOW, AZ
    ZIP 85901
  • Facility Phone: 928 537-2200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BECKY A. THOMPSON, MD
  • NPI Number: 1396715611
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D1018615
LAB Type Physician Office
Facility Name YOUR FAMILY PRACTICE
Street 2051 EVERGREEN LANE STE D
City SHOW LOW
State AZ
ZIP 85901
Phone 928 537-2200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/27/2023
Certificate Expiration Date 10/26/2025
Facility Type Physician Office
Lab Director BECKY A. THOMPSON, MD

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