03D2251975 CLIA NUMBER - GRAND CANYON UNIFIED SCHOOL DISTRICT #4

Laboratory Demographics

  • CLIA Code: 03D2251975
  • Facility Name: GRAND CANYON UNIFIED SCHOOL DISTRICT #4
  • Facility Address: 100 BOULDER ST
    GRAND CANYON, AZ
    ZIP 86023
  • Facility Phone: 928 638-2461
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: MATTHEW YOST
  • NPI Number: 1588767578
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 03D2251975
LAB Type School/Student Health Service
Facility Name GRAND CANYON UNIFIED SCHOOL DISTRICT #4
Street 100 BOULDER ST
City GRAND CANYON
State AZ
ZIP 86023
Phone 928 638-2461
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2024
Certificate Expiration Date 2/6/2026
Facility Type School/Student Health Service
Lab Director MATTHEW YOST

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