03D0899484 CLIA NUMBER - CANYON RANCH MEDICAL DEPARTMENT

Laboratory Demographics

  • CLIA Code: 03D0899484
  • Facility Name: CANYON RANCH MEDICAL DEPARTMENT
  • Facility Address: 8600 E ROCKCLIFF RD
    TUCSON, AZ
    ZIP 85715
  • Facility Phone: 520 749-9655
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: STEPHEN BREWER
  • NPI Number: 1649762238
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D0899484
LAB Type Physician Office
Facility Name CANYON RANCH MEDICAL DEPARTMENT
Street 8600 E ROCKCLIFF RD
City TUCSON
State AZ
ZIP 85715
Phone 520 749-9655
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 7/29/2024
Certificate Expiration Date 7/28/2026
Facility Type Physician Office
Lab Director STEPHEN BREWER

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