03D1054917 CLIA NUMBER - SURGERY CENTER AT RIVER ROAD, LLC

Laboratory Demographics

  • CLIA Code: 03D1054917
  • Facility Name: SURGERY CENTER AT RIVER ROAD, LLC
  • Facility Address: 2490 EAST RIVER RD STE 150
    TUCSON, AZ
    ZIP 85718
  • Facility Phone: 520 751-1225
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: LAURIE PRIETO
  • NPI Number: 1801825880
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D1054917
LAB Type Ambulatory Surgery Center
Facility Name SURGERY CENTER AT RIVER ROAD, LLC
Street 2490 EAST RIVER RD STE 150
City TUCSON
State AZ
ZIP 85718
Phone 520 751-1225
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/5/2024
Certificate Expiration Date 6/4/2026
Facility Type Ambulatory Surgery Center
Lab Director LAURIE PRIETO

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