03D1077048 CLIA NUMBER - HIGH DESERT CLINIC URGENT AND OCCUPATIONAL CARE

Laboratory Demographics

  • CLIA Code: 03D1077048
  • Facility Name: HIGH DESERT CLINIC URGENT AND OCCUPATIONAL CARE
  • Facility Address: 77 EAST FRY BLVD
    SIERRA VISTA, AZ
    ZIP 85635
  • Facility Phone: 520 459-8915
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: WARREN A. GLUCK MD
  • NPI Number: 1841682002
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D1077048
LAB Type Other
Facility Name HIGH DESERT CLINIC URGENT AND OCCUPATIONAL CARE
Street 77 EAST FRY BLVD
City SIERRA VISTA
State AZ
ZIP 85635
Phone 520 459-8915
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/29/2023
Certificate Expiration Date 11/28/2025
Facility Type Other
Lab Director WARREN A. GLUCK MD

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