03D2261191 CLIA NUMBER - CANYON MIDWIFERY LLC

Laboratory Demographics

  • CLIA Code: 03D2261191
  • Facility Name: CANYON MIDWIFERY LLC
  • Facility Address: 13470 N 83RD AVE STE 300
    PEORIA, AZ
    ZIP 85381
  • Facility Phone: 623 824-3660
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CONNIE ANN GARCIA
  • NPI Number: 1407492069
  • Taxonomy: 176B00000X - Midwife

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CLIA Record

Field Name Field Value
CLIA Number 03D2261191
LAB Type Physician Office
Facility Name CANYON MIDWIFERY LLC
Street 13470 N 83RD AVE STE 300
City PEORIA
State AZ
ZIP 85381
Phone 623 824-3660
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/26/2024
Certificate Expiration Date 5/25/2026
Facility Type Physician Office
Lab Director CONNIE ANN GARCIA

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