03D2008284 CLIA NUMBER - AKDHC - GREEN VALLEY

Laboratory Demographics

  • CLIA Code: 03D2008284
  • Facility Name: AKDHC - GREEN VALLEY
  • Facility Address: 1055 N LA CANADA DR STE 105
    GREEN VALLEY, AZ
    ZIP 85614
  • Facility Phone: 602 997-0484
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JOY LOGAN
  • NPI Number: 1720502073
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D2008284
LAB Type Physician Office
Facility Name AKDHC - GREEN VALLEY
Street 1055 N LA CANADA DR STE 105
City GREEN VALLEY
State AZ
ZIP 85614
Phone 602 997-0484
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 12/15/2023
Certificate Expiration Date 12/14/2025
Facility Type Physician Office
Lab Director JOY LOGAN

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