03D2001115 CLIA NUMBER - ADVANCED MEDICAL CLINIC, PLLC

Laboratory Demographics

  • CLIA Code: 03D2001115
  • Facility Name: ADVANCED MEDICAL CLINIC, PLLC
  • Facility Address: 1001 W 16TH ST
    YUMA, AZ
    ZIP 85364
  • Facility Phone: 928 782-0898
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LOC H. NGUYEN
  • NPI Number: 1417317702
  • Taxonomy: 261QR0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2001115
LAB Type Physician Office
Facility Name ADVANCED MEDICAL CLINIC, PLLC
Street 1001 W 16TH ST
City YUMA
State AZ
ZIP 85364
Phone 928 782-0898
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/16/2023
Certificate Expiration Date 12/15/2025
Facility Type Physician Office
Lab Director LOC H. NGUYEN

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