03D1063473 CLIA NUMBER - ABAN CARE CLINIC

Laboratory Demographics

  • CLIA Code: 03D1063473
  • Facility Name: ABAN CARE CLINIC
  • Facility Address: 2182 HWY 95
    BULLHEAD CITY, AZ
    ZIP 86442
  • Facility Phone: 928 758-6420
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GUILLERMO ZEGARRA, MD
  • NPI Number: 1649366378
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 03D1063473
LAB Type Physician Office
Facility Name ABAN CARE CLINIC
Street 2182 HWY 95
City BULLHEAD CITY
State AZ
ZIP 86442
Phone 928 758-6420
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/16/2025
Certificate Expiration Date 1/15/2027
Facility Type Physician Office
Lab Director GUILLERMO ZEGARRA, MD

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