03D0642003 CLIA NUMBER - SNH AZ TENANT LLC DBA THE FORUM AT TUCSON

Laboratory Demographics

  • CLIA Code: 03D0642003
  • Facility Name: SNH AZ TENANT LLC DBA THE FORUM AT TUCSON
  • Facility Address: 2500 N ROSEMONT BLVD
    TUCSON, AZ
    ZIP 85712
  • Facility Phone: 520 325-4800
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: VALERIE E. AUSTIN
  • NPI Number: 1639726896
  • Taxonomy: 310400000X - Assisted Living Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 03D0642003
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SNH AZ TENANT LLC DBA THE FORUM AT TUCSON
Street 2500 N ROSEMONT BLVD
City TUCSON
State AZ
ZIP 85712
Phone 520 325-4800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director VALERIE E. AUSTIN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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