03D2105560 CLIA NUMBER - HAVASU DIABETES CLINIC

Laboratory Demographics

CLIA Number: 03D2105560

Facility Name: HAVASU DIABETES CLINIC

Facility Address:
1851 MESQUITE AVE, STE 202
LAKE HAVASU CITY, AZ
ZIP 86403
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Facility Phone Number: (928) 505-5736

Facility Type: COMMUNITY CLINIC

Certificate Type: Waiver

CLIA Record

Field Name	Field Value
CLIA Number	03D2105560
LAB Type	COMMUNITY CLINIC
Facility Name	HAVASU DIABETES CLINIC
Street	1851 MESQUITE AVE, STE 202
City	LAKE HAVASU CITY
State	AZ
ZIP	86403
Phone	(928) 505-5736

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This page was last updated on: 5/11/2023