03D2174321 CLIA NUMBER - CARELOCK, LLC

Laboratory Demographics

  • CLIA Code: 03D2174321
  • Facility Name: CARELOCK, LLC
  • Facility Address: 20172 E STAGECOACH TRAIL
    MAYER, AZ
    ZIP 86333
  • Facility Phone: 928 632-4399
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN S. GILLIAM
  • NPI Number: 1972170322
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2174321
LAB Type Physician Office
Facility Name CARELOCK, LLC
Street 20172 E STAGECOACH TRAIL
City MAYER
State AZ
ZIP 86333
Phone 928 632-4399
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/29/2023
Certificate Expiration Date 10/28/2025
Facility Type Physician Office
Lab Director JOHN S. GILLIAM

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