03D2129785 CLIA NUMBER - ARIZONA DIGESTIVE HEALTH, PC

Laboratory Demographics

  • CLIA Code: 03D2129785
  • Facility Name: ARIZONA DIGESTIVE HEALTH, PC
  • Facility Address: 490 BRALLIAR RD
    WICKENBURG, AZ
    ZIP 85390
  • Facility Phone: 602 687-7468
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEFF STERN
  • NPI Number: 1952007106
  • Taxonomy: 332900000X - Non-Pharmacy Dispensing Site

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CLIA Record

Field Name Field Value
CLIA Number 03D2129785
LAB Type Physician Office
Facility Name ARIZONA DIGESTIVE HEALTH, PC
Street 490 BRALLIAR RD
City WICKENBURG
State AZ
ZIP 85390
Phone 602 687-7468
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/25/2025
Certificate Expiration Date 4/24/2027
Facility Type Physician Office
Lab Director JEFF STERN

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