03D0532830 CLIA NUMBER - SOUTHWEST KIDNEY INSTITUTE, PLC

Laboratory Demographics

CLIA Number: 03D0532830

Facility Name: SOUTHWEST KIDNEY INSTITUTE, PLC

Facility Address:
395 N SILVERBELL ROAD SUITE 209
TUCSON, AZ
ZIP 85745
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Facility Phone Number: 520 623-2642

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1891933560

Taxonomy: 207RN0300X - Internal Medicine
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

CLIA Record

Field Name	Field Value
CLIA Number	03D0532830
LAB Type	Physician Office
Facility Name	SOUTHWEST KIDNEY INSTITUTE, PLC
Street	395 N SILVERBELL ROAD SUITE 209
City	TUCSON
State	AZ
ZIP	85745
Phone	520 623-2642
CertificateType	3
CertificateEffectiveDate	9/2/2022
CertificateExpirationDate	9/1/2024
FacilityType	PPMP

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This page was last updated on: 4/23/2024