03D2104015 CLIA NUMBER - SPECIALTY ASSOCIATES

Laboratory Demographics

  • CLIA Code: 03D2104015
  • Facility Name: SPECIALTY ASSOCIATES
  • Facility Address: 1851 MESQUITE AVE, STE 210
    LAKE HAVASU CITY, AZ
    ZIP 86403
  • Facility Phone: 928 854-7540
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KHIZER S. SHAIKH
  • NPI Number: 1447630538
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D2104015
LAB Type Physician Office
Facility Name SPECIALTY ASSOCIATES
Street 1851 MESQUITE AVE, STE 210
City LAKE HAVASU CITY
State AZ
ZIP 86403
Phone 928 854-7540
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2023
Certificate Expiration Date 10/25/2025
Facility Type Physician Office
Lab Director KHIZER S. SHAIKH

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