03D1046628 CLIA NUMBER - MESQUITE PEDIATRICS, PC

Laboratory Demographics

  • CLIA Code: 03D1046628
  • Facility Name: MESQUITE PEDIATRICS, PC
  • Facility Address: 5983 E GRANT RD STE 105
    TUCSON, AZ
    ZIP 85712
  • Facility Phone: 520 648-5436
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEFFREY M. COUCHMAN, MD
  • NPI Number: 1831202878
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 03D1046628
LAB Type Physician Office
Facility Name MESQUITE PEDIATRICS, PC
Street 5983 E GRANT RD STE 105
City TUCSON
State AZ
ZIP 85712
Phone 520 648-5436
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/13/2025
Certificate Expiration Date 10/12/2027
Facility Type Physician Office
Lab Director JEFFREY M. COUCHMAN, MD

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