03D0979125 CLIA NUMBER - CAMP LOWELL CARDIOLOGY

Laboratory Demographics

  • CLIA Code: 03D0979125
  • Facility Name: CAMP LOWELL CARDIOLOGY
  • Facility Address: 4790 E CAMP LOWELL DR
    TUCSON, AZ
    ZIP 85712
  • Facility Phone: 520 319-5922
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK C. GOLDBERG MD
  • NPI Number: 1881874949
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 03D0979125
LAB Type Physician Office
Facility Name CAMP LOWELL CARDIOLOGY
Street 4790 E CAMP LOWELL DR
City TUCSON
State AZ
ZIP 85712
Phone 520 319-5922
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 MARK C. GOLDBERG MD

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