14D0435142 CLIA NUMBER - MAYRA ARZON MD

Laboratory Demographics

  • CLIA Code: 14D0435142
  • Facility Name: MAYRA ARZON MD
  • Facility Address: 1 MEMORIAL DR STE 101
    DECATUR, IL
    ZIP 62526
  • Facility Phone: 217 875-0690
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MAYRA A. ARZON
  • NPI Number: 1114958048
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 14D0435142
LAB Type Physician Office
Facility Name MAYRA ARZON MD
Street 1 MEMORIAL DR STE 101
City DECATUR
State IL
ZIP 62526
Phone 217 875-0690
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/30/2025
Certificate Expiration Date 6/29/2027
Facility Type Physician Office
Lab Director MAYRA A. ARZON

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