03D2281298 CLIA NUMBER - AGAPE CLINIC INC

Laboratory Demographics

  • CLIA Code: 03D2281298
  • Facility Name: AGAPE CLINIC INC
  • Facility Address: 2140 W 24TH ST STE B
    YUMA, AZ
    ZIP 85364
  • Facility Phone: 928 459-3400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARIO VAZQUEZ
  • NPI Number: 1922720333
  • Taxonomy: 207QA0505X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D2281298
LAB Type Physician Office
Facility Name AGAPE CLINIC INC
Street 2140 W 24TH ST STE B
City YUMA
State AZ
ZIP 85364
Phone 928 459-3400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/4/2025
Certificate Expiration Date 5/3/2027
Facility Type Physician Office
Lab Director MARIO VAZQUEZ

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