03D1095630 CLIA NUMBER - CORY KRUEGER MD PLC

Laboratory Demographics

  • CLIA Code: 03D1095630
  • Facility Name: CORY KRUEGER MD PLC
  • Facility Address: 115 S CANDY LANE STE C1
    COTTONWOOD, AZ
    ZIP 86326
  • Facility Phone: 928 634-7000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CORY S. KRUEGER, MD
  • NPI Number: 1700835006
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D1095630
LAB Type Physician Office
Facility Name CORY KRUEGER MD PLC
Street 115 S CANDY LANE STE C1
City COTTONWOOD
State AZ
ZIP 86326
Phone 928 634-7000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/12/2025
Certificate Expiration Date 2/11/2027
Facility Type Physician Office
Lab Director CORY S. KRUEGER, MD

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