03D2298328 CLIA NUMBER - ARIZONA CLINIC PLLC

Laboratory Demographics

  • CLIA Code: 03D2298328
  • Facility Name: ARIZONA CLINIC PLLC
  • Facility Address: 4834 E BROADWAY BLVD
    TUCSON, AZ
    ZIP 85711
  • Facility Phone: 206 551-0154
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL MINCKLER
  • NPI Number: 1053188771
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D2298328
LAB Type Physician Office
Facility Name ARIZONA CLINIC PLLC
Street 4834 E BROADWAY BLVD
City TUCSON
State AZ
ZIP 85711
Phone 206 551-0154
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/1/2024
Certificate Expiration Date 1/31/2026
Facility Type Physician Office
Lab Director MICHAEL MINCKLER

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