03D2298973 CLIA NUMBER - INNOVATIVE VIBRATIONS LLC

Laboratory Demographics

  • CLIA Code: 03D2298973
  • Facility Name: INNOVATIVE VIBRATIONS LLC
  • Facility Address: 45096 W BUCKTHORN TRL
    MARICOPA, AZ
    ZIP 85139
  • Facility Phone: 520 632-5941
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: DEIDRA AMICO
  • NPI Number: 1174209878
  • Taxonomy: 246RP1900X - Technician, Pathology

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CLIA Record

Field Name Field Value
CLIA Number 03D2298973
LAB Type Mobile Laboratory
Facility Name INNOVATIVE VIBRATIONS LLC
Street 45096 W BUCKTHORN TRL
City MARICOPA
State AZ
ZIP 85139
Phone 520 632-5941
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/12/2024
Certificate Expiration Date 2/11/2026
Facility Type Mobile Laboratory
Lab Director DEIDRA AMICO

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