03D2154150 CLIA NUMBER - AKDHC, LLC - MARANA

Laboratory Demographics

  • CLIA Code: 03D2154150
  • Facility Name: AKDHC, LLC - MARANA
  • Facility Address: 3600 W TANGERINE RD SUITE 110
    MARANA, AZ
    ZIP 85658
  • Facility Phone: 520 585-4634
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JAMIL AHMED
  • NPI Number: 1902392079
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D2154150
LAB Type Physician Office
Facility Name AKDHC, LLC - MARANA
Street 3600 W TANGERINE RD SUITE 110
City MARANA
State AZ
ZIP 85658
Phone 520 585-4634
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 9/6/2024
Certificate Expiration Date 9/5/2026
Facility Type Physician Office
Lab Director JAMIL AHMED

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