03D1044332 CLIA NUMBER - ALPINE COUNTRY UROLOGIC ASSOCIATES MICHAEL A MARMER MD

Laboratory Demographics

  • CLIA Code: 03D1044332
  • Facility Name: ALPINE COUNTRY UROLOGIC ASSOCIATES MICHAEL A MARMER MD
  • Facility Address: 709 W MAIN ST, STE A
    PAYSON, AZ
    ZIP 85541
  • Facility Phone: 928 468-0018
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MICHAEL A. MARMER, MD
  • NPI Number: 1598950313
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 03D1044332
LAB Type Physician Office
Facility Name ALPINE COUNTRY UROLOGIC ASSOCIATES MICHAEL A MARMER MD
Street 709 W MAIN ST, STE A
City PAYSON
State AZ
ZIP 85541
Phone 928 468-0018
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 8/16/2025
Certificate Expiration Date 8/15/2027
Facility Type Physician Office
Lab Director MICHAEL A. MARMER, MD

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