03D0979123 CLIA NUMBER - COURTNEY MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 03D0979123
  • Facility Name: COURTNEY MEDICAL GROUP
  • Facility Address: 1925 W ORANGE GROVE RD #204
    TUCSON, AZ
    ZIP 85704
  • Facility Phone: 520 797-8555
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUSAN S. COURTNEY MD
  • NPI Number: 1326296914
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D0979123
LAB Type Physician Office
Facility Name COURTNEY MEDICAL GROUP
Street 1925 W ORANGE GROVE RD #204
City TUCSON
State AZ
ZIP 85704
Phone 520 797-8555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/13/2024
Certificate Expiration Date 10/12/2026
Facility Type Physician Office
Lab Director SUSAN S. COURTNEY MD

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