03D2113095 CLIA NUMBER - SAN LUIS URGENT CARE

Laboratory Demographics

  • CLIA Code: 03D2113095
  • Facility Name: SAN LUIS URGENT CARE
  • Facility Address: 1233 N MAIN ST STE 1
    SAN LUIS, AZ
    ZIP 85349
  • Facility Phone: 928 550-5514
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: AMANDA AGUIRRE
  • NPI Number: 1144680455
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2113095
LAB Type Other - URGENT CARE
Facility Name SAN LUIS URGENT CARE
Street 1233 N MAIN ST STE 1
City SAN LUIS
State AZ
ZIP 85349
Phone 928 550-5514
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/16/2024
Certificate Expiration Date 5/15/2026
Facility Type Other - URGENT CARE
Lab Director AMANDA AGUIRRE

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