03D1071951 CLIA NUMBER - AKDHC - KINGMAN

Laboratory Demographics

  • CLIA Code: 03D1071951
  • Facility Name: AKDHC - KINGMAN
  • Facility Address: 2501 STOCKTON HILL RD, STE 102
    KINGMAN, AZ
    ZIP 86401
  • Facility Phone: 928 681-2772
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ZHAO LIU
  • NPI Number: 1447698204
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D1071951
LAB Type Physician Office
Facility Name AKDHC - KINGMAN
Street 2501 STOCKTON HILL RD, STE 102
City KINGMAN
State AZ
ZIP 86401
Phone 928 681-2772
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/6/2025
Certificate Expiration Date 8/5/2027
Facility Type Physician Office
Lab Director ZHAO LIU

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