03D2211159 CLIA NUMBER - ELDERHEALTH PLLC

Laboratory Demographics

  • CLIA Code: 03D2211159
  • Facility Name: ELDERHEALTH PLLC
  • Facility Address: 1846 E INNOVATION PARK DR
    ORO VALLEY, AZ
    ZIP 85755
  • Facility Phone: 520 329-2699
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: CORINNE M. SELF
  • NPI Number: 1336746692
  • Taxonomy: 207RG0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D2211159
LAB Type Practitioner Other
Facility Name ELDERHEALTH PLLC
Street 1846 E INNOVATION PARK DR
City ORO VALLEY
State AZ
ZIP 85755
Phone 520 329-2699
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/26/2025
Certificate Expiration Date 1/25/2027
Facility Type Practitioner Other
Lab Director CORINNE M. SELF

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