03D2108924 CLIA NUMBER - GILA RIVER HEALTH CARE / OASIS

Laboratory Demographics

  • CLIA Code: 03D2108924
  • Facility Name: GILA RIVER HEALTH CARE / OASIS
  • Facility Address: 291 W CASA BLANCA RD
    SACATON, AZ
    ZIP 85147
  • Facility Phone: 520 562-3321
  • Facility Type: Other - SUBSTANCE ABUSE PRGM
  • Facility Type: Waiver
  • Lab Director: KERRY W. VAN VOLKINBURGH
  • NPI Number: 1851441075
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 03D2108924
LAB Type Other - SUBSTANCE ABUSE PRGM
Facility Name GILA RIVER HEALTH CARE / OASIS
Street 291 W CASA BLANCA RD
City SACATON
State AZ
ZIP 85147
Phone 520 562-3321
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/16/2024
Certificate Expiration Date 2/15/2026
Facility Type Other - SUBSTANCE ABUSE PRGM
Lab Director KERRY W. VAN VOLKINBURGH

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