03D2276359 CLIA NUMBER - DESERT LOTUS CLINIC

Laboratory Demographics

  • CLIA Code: 03D2276359
  • Facility Name: DESERT LOTUS CLINIC
  • Facility Address: 1850 E INNOVATION PARK DR
    ORO VALLEY, AZ
    ZIP 85755
  • Facility Phone: 520 222-6997
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: NADIA E. POON-WOO
  • NPI Number: 1205541455
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2276359
LAB Type Practitioner Other
Facility Name DESERT LOTUS CLINIC
Street 1850 E INNOVATION PARK DR
City ORO VALLEY
State AZ
ZIP 85755
Phone 520 222-6997
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2025
Certificate Expiration Date 2/6/2027
Facility Type Practitioner Other
Lab Director NADIA E. POON-WOO

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