03D0957882 CLIA NUMBER - TUCSON CENTRAL PEDIATRICS PC

Laboratory Demographics

  • CLIA Code: 03D0957882
  • Facility Name: TUCSON CENTRAL PEDIATRICS PC
  • Facility Address: 1628 N ALVERNON WAY
    TUCSON, AZ
    ZIP 85712
  • Facility Phone: 520 325-8000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT HOM
  • NPI Number: 1497746127
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 03D0957882
LAB Type Physician Office
Facility Name TUCSON CENTRAL PEDIATRICS PC
Street 1628 N ALVERNON WAY
City TUCSON
State AZ
ZIP 85712
Phone 520 325-8000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/4/2025
Certificate Expiration Date 3/3/2027
Facility Type Physician Office
Lab Director ROBERT HOM

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