03D2156107 CLIA NUMBER - COMMUNITY MEDICAL SERVICES - SIERRA VISTA

Laboratory Demographics

  • CLIA Code: 03D2156107
  • Facility Name: COMMUNITY MEDICAL SERVICES - SIERRA VISTA
  • Facility Address: 302 EL CAMINO REAL, BLDG 10, STE C
    SIERRA VISTA, AZ
    ZIP 85635
  • Facility Phone: 602 796-8973
  • Facility Type: Other - OTC
  • Facility Type: Waiver
  • Lab Director: JUSTIN ABEYTA
  • NPI Number: 1861580086
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D2156107
LAB Type Other - OTC
Facility Name COMMUNITY MEDICAL SERVICES - SIERRA VISTA
Street 302 EL CAMINO REAL, BLDG 10, STE C
City SIERRA VISTA
State AZ
ZIP 85635
Phone 602 796-8973
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/10/2024
Certificate Expiration Date 10/9/2026
Facility Type Other - OTC
Lab Director JUSTIN ABEYTA

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