03D2047178 CLIA NUMBER - PALOMINAS RURAL HEALTH CLINIC

Laboratory Demographics

  • CLIA Code: 03D2047178
  • Facility Name: PALOMINAS RURAL HEALTH CLINIC
  • Facility Address: 10524 E HWY 92
    HEREFORD, AZ
    ZIP 85615
  • Facility Phone: 520 432-6285
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: ERIK P. ARELLANO
  • NPI Number: 1699822965
  • Taxonomy: 251300000X - Local Education Agency (LEA)

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 03D2047178
LAB Type Rural Health Clinic
Facility Name PALOMINAS RURAL HEALTH CLINIC
Street 10524 E HWY 92
City HEREFORD
State AZ
ZIP 85615
Phone 520 432-6285
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/19/2024
Certificate Expiration Date 9/18/2026
Facility Type Rural Health Clinic
Lab Director ERIK P. ARELLANO

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