03D2258657 CLIA NUMBER - SWPCA MEDICAL PRACTICE

Laboratory Demographics

  • CLIA Code: 03D2258657
  • Facility Name: SWPCA MEDICAL PRACTICE
  • Facility Address: 11814 S FOOTHILLS BLVD STE 1
    YUMA, AZ
    ZIP 85367
  • Facility Phone: 928 276-4477
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FRANCES E. DAVISON
  • NPI Number: 1972105708
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D2258657
LAB Type Physician Office
Facility Name SWPCA MEDICAL PRACTICE
Street 11814 S FOOTHILLS BLVD STE 1
City YUMA
State AZ
ZIP 85367
Phone 928 276-4477
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/25/2024
Certificate Expiration Date 4/24/2026
Facility Type Physician Office
Lab Director FRANCES E. DAVISON

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