03D0876474 CLIA NUMBER - PIMA COUNTY ADULT DETENTION COMPLEX

Laboratory Demographics

  • CLIA Code: 03D0876474
  • Facility Name: PIMA COUNTY ADULT DETENTION COMPLEX
  • Facility Address: 1270 W SILVERLAKE RD
    TUCSON, AZ
    ZIP 85713
  • Facility Phone: 520 724-7923
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: MIKELL B. KARSTEN
  • NPI Number: 1225891435
  • Taxonomy: 363LC1500X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 03D0876474
LAB Type Other
Facility Name PIMA COUNTY ADULT DETENTION COMPLEX
Street 1270 W SILVERLAKE RD
City TUCSON
State AZ
ZIP 85713
Phone 520 724-7923
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/17/2025
Certificate Expiration Date 9/16/2027
Facility Type Other
Lab Director MIKELL B. KARSTEN

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