03D1028103 CLIA NUMBER - GEOWAY LLC DBA A NEW CREATION CLINIC & MEDI-SPA

Laboratory Demographics

  • CLIA Code: 03D1028103
  • Facility Name: GEOWAY LLC DBA A NEW CREATION CLINIC & MEDI-SPA
  • Facility Address: 1801 W INA RD
    TUCSON, AZ
    ZIP 85704
  • Facility Phone: 520 293-1117
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: CHERYL ABRAHAM
  • NPI Number: 1598204125
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 03D1028103
LAB Type Physician Office
Facility Name GEOWAY LLC DBA A NEW CREATION CLINIC & MEDI-SPA
Street 1801 W INA RD
City TUCSON
State AZ
ZIP 85704
Phone 520 293-1117
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 7/20/2024
Certificate Expiration Date 7/19/2026
Facility Type Physician Office
Lab Director CHERYL ABRAHAM

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