03D0698782 CLIA NUMBER - SUNNYSIDE MEDICENTER

Laboratory Demographics

  • CLIA Code: 03D0698782
  • Facility Name: SUNNYSIDE MEDICENTER
  • Facility Address: 3681 S PALO VERDE
    TUCSON, AZ
    ZIP 85713
  • Facility Phone: 520 750-8855
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DENNIS L. THRASHER
  • NPI Number: 1912117904
  • Taxonomy: 261QX0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D0698782
LAB Type Physician Office
Facility Name SUNNYSIDE MEDICENTER
Street 3681 S PALO VERDE
City TUCSON
State AZ
ZIP 85713
Phone 520 750-8855
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director DENNIS L. THRASHER

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