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LAKE HAVASU PEDIATRIC FAMILY CLINIC
NPI 1154051753
Clinic/Center - Multi-Specialty in Lake Havasu City, AZ

Active since June 15, 2022
1980 MESQUITE AVE, LAKE HAVASU CITY, AZ 86403(928) 392-3691(928) 392-3693 Get Directions Write a Review

NPPES record last updated: September 7, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lake Havasu Pediatric Family Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKE HAVASU PEDIATRIC FAMILY CLINIC (NPI 1154051753) is a healthcare organization registered as a multi-specialty in Lake Havasu City, Arizona and active in the NPI registry since June 2022. The organization lists Amanda Aguirre, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1154051753
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameSAN LUIS WALK-IN CLINIC, INC.
Location Address1980 MESQUITE AVELake Havasu City, AZ 86403-7713
Mailing AddressPo Box 617Somerton, AZ 85350-0617 · (928) 315-7910 · Fax (928) 722-6113
Phone(928) 392-3691
Fax(928) 392-3693
Organization SubpartNo
Authorized OfficialAmanda AguirrePresident & Ceo · (928) 315-7910
Enumeration DateJune 15, 2022
Last NPPES UpdateSeptember 7, 2023
NPPES CertifiedSeptember 7, 2023
✔ NPI 1154051753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
1980 MESQUITE AVE, Lake Havasu City, AZ 86403
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Other Names 1

Doing Business AsLake Havasu Pediatric Family Clinic

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 03D1017038

Lake Havasu Cboc · Lake Havasu City, AZ
Expired · May 22, 2026
CLIA Number03D1017038
Laboratory TypeCommunity Clinic
Certificate Effective DateSeptember 16, 2003
Certificate Expiration DateMay 22, 2026
Laboratory DirectorKenneth G. Flanagan
Laboratory Phone(928) 680-0090
Laboratory LocationLake Havasu Cboc145 Park Ave, Lake Havasu City, AZ 86403
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WESTERN ARIZONA FOOT & ANKLE
Podiatrist (Foot & Ankle Surgery)
1980 MESQUITE AVE, SUITE 103
LAKE HAVASU CITY, AZ 86403
Mohave County (928) 680-4934

Frequently Asked Questions

What is SAN LUIS WALK-IN CLINIC, INC.'s NPI number?

The NPI number assigned to this healthcare provider is 1154051753, enumerated as an "organization" on June 15, 2022.

Where is the provider located?

The provider is located at 1980 MESQUITE AVE LAKE HAVASU CITY, AZ 86403 and the phone number is (928) 392-3691.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.

What insurance does SAN LUIS WALK-IN CLINIC, INC. accept?

The provider might be accepting Accepts: Ambetter from Arizona Complete Health and Blue. Please consult your insurance carrier or call the provider to verify.