03D2246991 CLIA NUMBER - PALOVERDE HEALTH SERVICES, PLLC

Laboratory Demographics

  • CLIA Code: 03D2246991
  • Facility Name: PALOVERDE HEALTH SERVICES, PLLC
  • Facility Address: 18 W CENTER ST
    PIMA, AZ
    ZIP 85543
  • Facility Phone: 928 485-5353
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANGELA M. PAULL
  • NPI Number: 1326712274
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D2246991
LAB Type Physician Office
Facility Name PALOVERDE HEALTH SERVICES, PLLC
Street 18 W CENTER ST
City PIMA
State AZ
ZIP 85543
Phone 928 485-5353
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/3/2024
Certificate Expiration Date 1/2/2026
Facility Type Physician Office
Lab Director ANGELA M. PAULL

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