03D2116541 CLIA NUMBER - PERALTA URGENT CARE

Laboratory Demographics

  • CLIA Code: 03D2116541
  • Facility Name: PERALTA URGENT CARE
  • Facility Address: 6740 S KINGS RANCH RD STE 102
    GOLD CANYON, AZ
    ZIP 85118
  • Facility Phone: 480 616-2500
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: ZELALEM YILMA
  • NPI Number: 1700247335
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2116541
LAB Type Other - URGENT CARE
Facility Name PERALTA URGENT CARE
Street 6740 S KINGS RANCH RD STE 102
City GOLD CANYON
State AZ
ZIP 85118
Phone 480 616-2500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/27/2024
Certificate Expiration Date 7/26/2026
Facility Type Other - URGENT CARE
Lab Director ZELALEM YILMA

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