03D2258376 CLIA NUMBER - CITIZENS INTEGRATED FAMILY PRACTICE LLC

Laboratory Demographics

  • CLIA Code: 03D2258376
  • Facility Name: CITIZENS INTEGRATED FAMILY PRACTICE LLC
  • Facility Address: 288 N IRONWOOD DR STE 112
    APACHE JUNCTION, AZ
    ZIP 85120
  • Facility Phone: 480 992-1455
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NOAH K. SANG
  • NPI Number: 1497379069
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2258376
LAB Type Physician Office
Facility Name CITIZENS INTEGRATED FAMILY PRACTICE LLC
Street 288 N IRONWOOD DR STE 112
City APACHE JUNCTION
State AZ
ZIP 85120
Phone 480 992-1455
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/20/2024
Certificate Expiration Date 4/19/2026
Facility Type Physician Office
Lab Director NOAH K. SANG

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