03D2010154 CLIA NUMBER - CARELON HEALTH

Laboratory Demographics

  • CLIA Code: 03D2010154
  • Facility Name: CARELON HEALTH
  • Facility Address: 191 W ESPERANZA BLVD #A
    GREEN VALLEY, AZ
    ZIP 85614
  • Facility Phone: 520 791-7300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL GROSHNER
  • NPI Number: 1457723470
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 03D2010154
LAB Type Physician Office
Facility Name CARELON HEALTH
Street 191 W ESPERANZA BLVD #A
City GREEN VALLEY
State AZ
ZIP 85614
Phone 520 791-7300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/21/2024
Certificate Expiration Date 7/20/2026
Facility Type Physician Office
Lab Director MICHAEL GROSHNER

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