03D2114412 CLIA NUMBER - KRMC CANCER CENTER

Laboratory Demographics

  • CLIA Code: 03D2114412
  • Facility Name: KRMC CANCER CENTER
  • Facility Address: 1739 BEVERLY AVE, STE 113
    KINGMAN, AZ
    ZIP 86409
  • Facility Phone: 928 692-4666
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: RYAN E. SWAPP

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CLIA Record

Field Name Field Value
CLIA Number 03D2114412
LAB Type Ancillary Testing Site in Health Care Center
Facility Name KRMC CANCER CENTER
Street 1739 BEVERLY AVE, STE 113
City KINGMAN
State AZ
ZIP 86409
Phone 928 692-4666
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/14/2024
Certificate Expiration Date 6/13/2026
Facility Type Ancillary Testing Site in Health Care Center
Lab Director RYAN E. SWAPP

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This page was last updated on: 6/4/2025