03D2126326 CLIA NUMBER - VALLEY VIEW PRIMARY CARE ASSOCIATES

Laboratory Demographics

  • CLIA Code: 03D2126326
  • Facility Name: VALLEY VIEW PRIMARY CARE ASSOCIATES
  • Facility Address: 3641 HIGHWAY 95
    BULLHEAD CITY, AZ
    ZIP 86442
  • Facility Phone: 928 758-2273
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KEEGAN M. DRAWE
  • NPI Number: 1205264041
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 03D2126326
LAB Type Physician Office
Facility Name VALLEY VIEW PRIMARY CARE ASSOCIATES
Street 3641 HIGHWAY 95
City BULLHEAD CITY
State AZ
ZIP 86442
Phone 928 758-2273
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/23/2025
Certificate Expiration Date 2/22/2027
Facility Type Physician Office
Lab Director KEEGAN M. DRAWE

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