03D2030366 CLIA NUMBER - AKDHC - SHOWLOW

Laboratory Demographics

  • CLIA Code: 03D2030366
  • Facility Name: AKDHC - SHOWLOW
  • Facility Address: 1500 S WHITE MOUNTAIN RD, HWY 260, STE 201
    SHOW LOW, AZ
    ZIP 85901
  • Facility Phone: 928 445-7632
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: WARREN I. HO
  • NPI Number: 1659709335
  • Taxonomy: 207RN0300X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 03D2030366
LAB Type Physician Office
Facility Name AKDHC - SHOWLOW
Street 1500 S WHITE MOUNTAIN RD, HWY 260, STE 201
City SHOW LOW
State AZ
ZIP 85901
Phone 928 445-7632
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 12/16/2024
Certificate Expiration Date 12/15/2026
Facility Type Physician Office
Lab Director WARREN I. HO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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