03D2126026 CLIA NUMBER - COMPREHENSIVE INTERVENTIONAL CARE CENTERS

Laboratory Demographics

  • CLIA Code: 03D2126026
  • Facility Name: COMPREHENSIVE INTERVENTIONAL CARE CENTERS
  • Facility Address: 2145 W 28TH ST STE A & B
    YUMA, AZ
    ZIP 85364
  • Facility Phone: 928 328-8338
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOEL RAINWATER
  • NPI Number: 1871223149
  • Taxonomy: 213ES0103X - Podiatrist

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CLIA Record

Field Name Field Value
CLIA Number 03D2126026
LAB Type Physician Office
Facility Name COMPREHENSIVE INTERVENTIONAL CARE CENTERS
Street 2145 W 28TH ST STE A & B
City YUMA
State AZ
ZIP 85364
Phone 928 328-8338
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/17/2025
Certificate Expiration Date 2/16/2027
Facility Type Physician Office
Lab Director JOEL RAINWATER

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