03D2296804 CLIA NUMBER - PAYSON WALK-IN CLINIC

Laboratory Demographics

  • CLIA Code: 03D2296804
  • Facility Name: PAYSON WALK-IN CLINIC
  • Facility Address: 615 W MAIN ST
    PAYSON, AZ
    ZIP 85541
  • Facility Phone: 480 550-2191
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: STEVE BORAK
  • NPI Number: 1356119689
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2296804
LAB Type Practitioner Other
Facility Name PAYSON WALK-IN CLINIC
Street 615 W MAIN ST
City PAYSON
State AZ
ZIP 85541
Phone 480 550-2191
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/5/2024
Certificate Expiration Date 1/4/2026
Facility Type Practitioner Other
Lab Director STEVE BORAK

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