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03D2072130 CLIA NUMBER - SIERRA VISTA ADULT CLINIC SUITE 300

Laboratory Demographics

CLIA Number: 03D2072130

Facility Name: SIERRA VISTA ADULT CLINIC SUITE 300

Facility Address:
155 CALLE PORTAL STE 300
SIERRA VISTA, AZ
ZIP 85635
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Facility Phone Number: 520 364-1429

Facility Type: Federally Qualified Health Center

Certificate Type: Waiver
NPI Number: 1992142921

Taxonomy: 207ZP0102X - Pathology
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

CLIA Record

Field Name Field Value
CLIA Number 03D2072130
LAB Type Federally Qualified Health Center
Facility Name SIERRA VISTA ADULT CLINIC SUITE 300
Street 155 CALLE PORTAL STE 300
City SIERRA VISTA
State AZ
ZIP 85635
Phone 520 364-1429
CertificateType 4
CertificateEffectiveDate 3/2/2024
CertificateExpirationDate 3/1/2026
FacilityType Waiver

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This page was last updated on: 4/23/2024