03D2250631 CLIA NUMBER - DR JEFF CARLS FAMILY MEDICINE AND AESTHETICS

Laboratory Demographics

  • CLIA Code: 03D2250631
  • Facility Name: DR JEFF CARLS FAMILY MEDICINE AND AESTHETICS
  • Facility Address: 1720 MESQUITE AVE STE100
    LAKE HAVASU CITY, AZ
    ZIP 86403
  • Facility Phone: 928 855-1550
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEFFREY J. CARLS
  • NPI Number: 1760093595
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 03D2250631
LAB Type Physician Office
Facility Name DR JEFF CARLS FAMILY MEDICINE AND AESTHETICS
Street 1720 MESQUITE AVE STE100
City LAKE HAVASU CITY
State AZ
ZIP 86403
Phone 928 855-1550
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/27/2024
Certificate Expiration Date 1/26/2026
Facility Type Physician Office
Lab Director JEFFREY J. CARLS

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