03D0862227 CLIA NUMBER - ALICIA M COSTANTINO MD PC

Laboratory Demographics

  • CLIA Code: 03D0862227
  • Facility Name: ALICIA M COSTANTINO MD PC
  • Facility Address: 2055 W HOSPITAL DR, #115
    TUCSON, AZ
    ZIP 85704
  • Facility Phone: 520 797-0011
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ALICIA M. COSTANTINO MD
  • NPI Number: 1992722748
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 03D0862227
LAB Type Physician Office
Facility Name ALICIA M COSTANTINO MD PC
Street 2055 W HOSPITAL DR, #115
City TUCSON
State AZ
ZIP 85704
Phone 520 797-0011
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 ALICIA M. COSTANTINO MD

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