03D2136847 CLIA NUMBER - AKDHC - SIERRA VISTA

Laboratory Demographics

  • CLIA Code: 03D2136847
  • Facility Name: AKDHC - SIERRA VISTA
  • Facility Address: 5555 MESA VERDE DR, STE 100
    SIERRA VISTA, AZ
    ZIP 85635
  • Facility Phone: 520 585-4741
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MICHAEL DELONG
  • NPI Number: 1730566118
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D2136847
LAB Type Physician Office
Facility Name AKDHC - SIERRA VISTA
Street 5555 MESA VERDE DR, STE 100
City SIERRA VISTA
State AZ
ZIP 85635
Phone 520 585-4741
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/18/2025
Certificate Expiration Date 9/17/2027
Facility Type Physician Office
Lab Director MICHAEL DELONG

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