03D2245752 CLIA NUMBER - PINAL HISPANIC COUNCIL - NOGALES

Laboratory Demographics

  • CLIA Code: 03D2245752
  • Facility Name: PINAL HISPANIC COUNCIL - NOGALES
  • Facility Address: 275 N GRAND COURT PLAZA
    NOGALES, AZ
    ZIP 85621
  • Facility Phone: 520 287-0015
  • Facility Type: Other - BEH HEALTH CLINIC
  • Facility Type: Waiver
  • Lab Director: DR. LINDSEY RETTERATH
  • NPI Number: 1841592078
  • Taxonomy: 251S00000X - Community/Behavioral Health

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 03D2245752
LAB Type Other - BEH HEALTH CLINIC
Facility Name PINAL HISPANIC COUNCIL - NOGALES
Street 275 N GRAND COURT PLAZA
City NOGALES
State AZ
ZIP 85621
Phone 520 287-0015
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/16/2023
Certificate Expiration Date 12/15/2025
Facility Type Other - BEH HEALTH CLINIC
Lab Director DR. LINDSEY RETTERATH

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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