03D1068272 CLIA NUMBER - AKDHC - COTTONWOOD

Laboratory Demographics

  • CLIA Code: 03D1068272
  • Facility Name: AKDHC - COTTONWOOD
  • Facility Address: 451 S CALVARY WAY
    COTTONWOOD, AZ
    ZIP 86326
  • Facility Phone: 928 649-7997
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ANDREW SACKS
  • NPI Number: 1831582154
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D1068272
LAB Type Physician Office
Facility Name AKDHC - COTTONWOOD
Street 451 S CALVARY WAY
City COTTONWOOD
State AZ
ZIP 86326
Phone 928 649-7997
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 11/15/2024
Certificate Expiration Date 11/14/2026
Facility Type Physician Office
Lab Director ANDREW SACKS

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