03D1049776 CLIA NUMBER - EDWARD J QUINN MD

Laboratory Demographics

  • CLIA Code: 03D1049776
  • Facility Name: EDWARD J QUINN MD
  • Facility Address: 150 RIVIERA DR
    LAKE HAVASU, AZ
    ZIP 86403
  • Facility Phone: 928 855-5090
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EDWARD J. QUINN
  • NPI Number: 1588832208
  • Taxonomy: 207ZP0102X - Pathology

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CLIA Record

Field Name Field Value
CLIA Number 03D1049776
LAB Type Physician Office
Facility Name EDWARD J QUINN MD
Street 150 RIVIERA DR
City LAKE HAVASU
State AZ
ZIP 86403
Phone 928 855-5090
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/17/2024
Certificate Expiration Date 1/16/2026
Facility Type Physician Office
Lab Director EDWARD J. QUINN

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