03D1054193 CLIA NUMBER - SUMMIT BHC TUCSON, LLC DBA COTTONWOOD TUCSON

Laboratory Demographics

  • CLIA Code: 03D1054193
  • Facility Name: SUMMIT BHC TUCSON, LLC DBA COTTONWOOD TUCSON
  • Facility Address: 4110 W SWEETWATER DRIVE
    TUCSON, AZ
    ZIP 85745
  • Facility Phone: 520 743-2150
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: TAB W. HOYT
  • NPI Number: 1407363195
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D1054193
LAB Type Hospital
Facility Name SUMMIT BHC TUCSON, LLC DBA COTTONWOOD TUCSON
Street 4110 W SWEETWATER DRIVE
City TUCSON
State AZ
ZIP 85745
Phone 520 743-2150
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/15/2024
Certificate Expiration Date 5/14/2026
Facility Type Hospital
Lab Director TAB W. HOYT

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