03D1012023 CLIA NUMBER - MESQUITE FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 03D1012023
  • Facility Name: MESQUITE FAMILY MEDICINE
  • Facility Address: 5880 N LA CHOLLA BLVD, STE 180
    TUCSON, AZ
    ZIP 85741
  • Facility Phone: 520 751-3695
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAPHNE ROSALES BARRAGAN
  • NPI Number: 1114125267
  • Taxonomy: 1223S0112X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 03D1012023
LAB Type Physician Office
Facility Name MESQUITE FAMILY MEDICINE
Street 5880 N LA CHOLLA BLVD, STE 180
City TUCSON
State AZ
ZIP 85741
Phone 520 751-3695
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/9/2024
Certificate Expiration Date 11/8/2026
Facility Type Physician Office
Lab Director DAPHNE ROSALES BARRAGAN

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