03D2179462 CLIA NUMBER - BRYAN T MCCONNELL, DO

Laboratory Demographics

  • CLIA Code: 03D2179462
  • Facility Name: BRYAN T MCCONNELL, DO
  • Facility Address: 101 W DUVAL RD
    GREEN VALLEY, AZ
    ZIP 85614
  • Facility Phone: 520 399-9212
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRYAN T. MCCONNELL
  • NPI Number: 1790984540
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D2179462
LAB Type Physician Office
Facility Name BRYAN T MCCONNELL, DO
Street 101 W DUVAL RD
City GREEN VALLEY
State AZ
ZIP 85614
Phone 520 399-9212
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/24/2024
Certificate Expiration Date 2/23/2026
Facility Type Physician Office
Lab Director BRYAN T. MCCONNELL

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