03D1041055 CLIA NUMBER - CHANGEPOINT INTEGRATED HEALTHCARE

Laboratory Demographics

  • CLIA Code: 03D1041055
  • Facility Name: CHANGEPOINT INTEGRATED HEALTHCARE
  • Facility Address: 2500 SHOW LOW LAKE RD
    SHOW LOW, AZ
    ZIP 85901
  • Facility Phone: 928 537-5315
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: EHAB ABDALLAH
  • NPI Number: 1841836285
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 03D1041055
LAB Type Community Clinic
Facility Name CHANGEPOINT INTEGRATED HEALTHCARE
Street 2500 SHOW LOW LAKE RD
City SHOW LOW
State AZ
ZIP 85901
Phone 928 537-5315
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/24/2025
Certificate Expiration Date 5/23/2027
Facility Type Community Clinic
Lab Director EHAB ABDALLAH

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