03D2181244 CLIA NUMBER - INTEGRATED CLINIC - NATIVE AMERICAN CONNECTIONS

Laboratory Demographics

  • CLIA Code: 03D2181244
  • Facility Name: INTEGRATED CLINIC - NATIVE AMERICAN CONNECTIONS
  • Facility Address: 337 E VIRGINIA AVE BLDG B
    PHOENIX, AZ
    ZIP 85004
  • Facility Phone: 602 424-2060
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: MICHAEL D. HURT
  • NPI Number: 1497176788
  • Taxonomy: 208M00000X - Hospitalist

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CLIA Record

Field Name Field Value
CLIA Number 03D2181244
LAB Type Community Clinic
Facility Name INTEGRATED CLINIC - NATIVE AMERICAN CONNECTIONS
Street 337 E VIRGINIA AVE BLDG B
City PHOENIX
State AZ
ZIP 85004
Phone 602 424-2060
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/30/2024
Certificate Expiration Date 3/29/2026
Facility Type Community Clinic
Lab Director MICHAEL D. HURT

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