03D2098233 CLIA NUMBER - PINAL HISPANIC COUNCIL - BISBEE OP

Laboratory Demographics

  • CLIA Code: 03D2098233
  • Facility Name: PINAL HISPANIC COUNCIL - BISBEE OP
  • Facility Address: 1326 HWY 92, STE J
    BISBEE, AZ
    ZIP 85603
  • Facility Phone: 520 721-1187
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: TAMMY KASTRE
  • NPI Number: 1851651079
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2098233
LAB Type Community Clinic
Facility Name PINAL HISPANIC COUNCIL - BISBEE OP
Street 1326 HWY 92, STE J
City BISBEE
State AZ
ZIP 85603
Phone 520 721-1187
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/2/2023
Certificate Expiration Date 7/1/2025
Facility Type Community Clinic
Lab Director TAMMY KASTRE

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This page was last updated on: 3/20/2025